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Individual

LUIS ANTONIO SARDINA PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8316 KASEMAN CT NE, ALBUQUERQUE, NM 87110-7639
(505) 292-5850
(505) 292-9724
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2024-0810
NM
207ND0900X
Dermatopathology Physician
MD2024-0810
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD2024-0810
NM

Other

Enumeration date
06/22/2015
Last updated
05/14/2026
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