Individual
MICHEAL JOSEPH RADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1111 UNIV BLVD SE, ALBUQUERQUE, NM 87106-4327
(231) 340-1657
Mailing address
6401 SANTA MONICA AVE NE APT 1025, ALBUQUERQUE, NM 87109-4160
(231) 340-1657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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