Individual
AVELINA BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-6130
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-6130
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82161
NM
Other
Enumeration date
07/16/2006
Last updated
09/30/2014
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