Individual
DR. ALFONSO RICARDO URDANETA-MONCADA
Active
Individual
DR. ALFONSO RICARDO URDANETA-MONCADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
116005
AK
2085N0700X
Neuroradiology Physician
M-13632
ID
2085N0700X
Neuroradiology Physician
MD60665935
WA
2085R0202X
Diagnostic Radiology Physician
116005
AK
2085R0202X
Diagnostic Radiology Physician
4301501630
MI
2085R0202X
Diagnostic Radiology Physician
M-13632
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD60665935
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477812873
—
ID
05
—
2046104
—
WA
Enumeration date
05/07/2012
Last updated
01/30/2025
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