Individual
DR. THOMAS D. FADELL LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 A SECOND ST., SE, 377 MDG/SGP, KIRTLAND AFB, NM 87117-5522
(505) 846-2504
(505) 846-2428
Mailing address
2050 A SECOND ST., SE, 377 MDG/SGP, KIRTLAND AFB, NM 87117-5522
(505) 846-2504
(505) 846-2428
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
185519-1
NY
2083X0100X
Occupational Medicine Physician
Primary
185519-1
NY
Other
Enumeration date
02/17/2006
Last updated
08/25/2015
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