Individual
RICHARD TSUKASA KOTOMORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5466
Mailing address
14021 MESITA CLIFF RD NE, ALBUQUERQUE, NM 87112-6580
(505) 332-0130
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
75-60
NM
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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