Individual
DR. AMANDA K MEDORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO MSC11 6025, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 925-7290
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
54129
CT
207P00000X
Emergency Medicine Physician
Primary
MD2049-0999
NM
Other
Enumeration date
06/21/2010
Last updated
09/25/2024
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