Individual
SEAN PATRICK RICCIARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS (MD)
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC DEPARTMENT OF PATHOLOGY, ALBUQUERQUE, NM 87131
(505) 925-0516
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC DEPARTMENT OF PATHOLOGY, ALBUQUERQUE, NM 87131
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RS2017-0538
NM
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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