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Individual

DR. RICARDO DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 SAN PEDRO SE, NEW MEXICO VA HEALTH CARE SYSTEM, ALBUQUERQUE, NM 87108-5154
(505) 265-1711
(505) 256-5466
Mailing address
6601 TENNYSON ST NE, APT # 14203, ALBUQUERQUE, NM 87111-8161
(520) 249-9177

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
J6101
TX

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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