Individual
DAVID MICHAEL UDERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1090 MED PARK DR, LAS CRUCES, NM 88005-3236
(575) 523-7243
Mailing address
3233 W T RYAN LN, PHOENIX, AZ 85041-5222
(575) 649-0340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1667
NM
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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