Individual
KEITH G WINTERKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Mailing address
8020 CONSTITUTION PLACE NE, #202, ALBUQUERQUE, NM 87110
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
86360
NM
2085R0204X
Vascular & Interventional Radiology Physician
86-360
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37390
—
NM
05
—
456815
—
AZ
Enumeration date
02/24/2006
Last updated
04/23/2025
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