Individual
CRISPIN V MADRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
4700 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-2136
(505) 932-7475
(505) 932-7405
Mailing address
12 QUIET VALLEY LOOP, EDGEWOOD, NM 87015-8709
(505) 980-8258
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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