Individual
DR. MELANIE RAE PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8020 CONSTITUTION PL NE, SUITE 202, ALBUQUERQUE, NM 87110-7607
(505) 998-3096
(505) 998-3100
Mailing address
8020 CONSTITUTION PL NE, SUITE 202, ALBUQUERQUE, NM 87110-7607
(505) 998-3096
(505) 998-3100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02477
TN
2085R0202X
Diagnostic Radiology Physician
A-1816-14
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031301272
MEDICARE
—
Enumeration date
04/16/2008
Last updated
06/04/2014
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