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Individual

RICHARD M FEDDERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 CENTRAL AVE SE, PATHOLOGY ASSOCIATES, ALBUQUERQUE, NM 87106-4930
(505) 841-1259
(505) 841-1373
Mailing address
800 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
87229
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9597
NM
Enumeration date
10/31/2005
Last updated
02/15/2025
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