Individual
RIO UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MSC 10 5610, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6487
(505) 272-4156
Mailing address
MSC 10 5610, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6487
(505) 272-4156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2007-0020
NM
Other
Enumeration date
06/04/2007
Last updated
02/15/2012
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