Individual
DR. ALEX RAIMES CUDKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1011 N MILDRED RD, CORTEZ, CO 81321-2435
(970) 565-8482
(970) 565-8478
Mailing address
1011 N MILDRED RD, CORTEZ, CO 81321-2435
(970) 565-8482
(970) 565-8478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34477
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01344779
—
CO
01
—
Q4652
NEW MEXICO MEDICAID
NM
Enumeration date
10/09/2007
Last updated
12/20/2018
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