Individual
CHRISTINA ROBYN SHETLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
640 QUANTUM RD NE, RIO RANCHO, NM 87124-4506
(505) 924-0209
(505) 924-0210
Mailing address
640 QUANTUM RD NE, RIO RANCHO, NM 87124-4506
(505) 924-0209
(505) 924-0210
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N6019
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0022469
INSTITUTIONAL PERMIT
—
Enumeration date
06/11/2007
Last updated
12/07/2016
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