Individual
OLIVIER NICOLAS EZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2025-0522
NM
207P00000X
Emergency Medicine Physician
MD228008
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2021
Last updated
03/30/2026
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