Individual
ELLIOT KRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
565 GUTIERREZ RD, CORRALES, NM 87048-8467
(505) 301-3629
Mailing address
PO BOX 3197, CORRALES, NM 87048-3197
(505) 301-3629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4550
NM
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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