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Individual

DENISE E AAMODT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1570
(505) 896-8600
(505) 869-8618
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95-1
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34K606006
MEDICARE PTAN
05
HO791
NM
Enumeration date
07/08/2006
Last updated
05/23/2024
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