Organization
LEONEL G. RODARTE M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONEL G. RODARTE M.D. (OWNER)
(575) 522-5111
Entity
Organization
Contact information
Practice address
3885 FOOTHILLS, STE. B, LAS CRUCES, NM 88011
(575) 522-5111
(575) 522-5115
Mailing address
3885 FOOTHILLS, STE. B, LAS CRUCES, NM 88011
(575) 522-5111
(575) 522-5115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2002-0380
NM
2084P0800X
Psychiatry Physician
Primary
NM2002-0380
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32274050
—
NM
Enumeration date
11/06/2007
Last updated
10/25/2010
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