Individual
DR. CATHERINE MARIE RADOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER, GALLUP, NM 87301-4555
(505) 722-1000
Mailing address
PO BOX 1337, GALLUP INDIAN MEDICAL CENTER, GALLUP, NM 87305
(505) 722-1000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
91287
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414904
—
AZ
05
—
S0796
—
NM
Enumeration date
03/09/2006
Last updated
07/08/2007
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