Organization
CARDIOVASCULAR AND ENDOVASCULAR SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RANDOLPH WATERFORD MD (PRESIDENT)
(505) 242-2325
Entity
Organization
Contact information
Practice address
500 WALTER ST NE, ALBUQUERQUE, NM 87102-2534
(505) 803-1087
(505) 892-6340
Mailing address
625 SILVER SE, SUITE 340, ALBUQUERQUE, NM 87102-3123
(505) 242-2325
(505) 242-2885
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2006-0459
NM
Other
Enumeration date
11/21/2007
Last updated
07/24/2008
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