Individual
DR. LEONEL G. RODARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3885 FOOTHILLS RD, SUITE B, LAS CRUCES, NM 88011-4672
(575) 522-5111
(575) 522-5115
Mailing address
3885 FOOTHILLS RD, SUITE B, LAS CRUCES, NM 88011-4672
(575) 522-5111
(575) 522-5115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NM2002-0380
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32274050
—
NM
Enumeration date
03/28/2006
Last updated
02/27/2013
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