Individual
MARTHA F TERRAZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC 10 5530 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2269
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-5753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.146054
IL
2085R0202X
Diagnostic Radiology Physician
Primary
MD2019-0202
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS12345
NM
Other
Enumeration date
04/11/2013
Last updated
05/21/2019
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