Individual
DR. RONALD JOHN ROSANDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8010 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7840
(505) 268-2481
(505) 268-0889
Mailing address
8010 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7840
(505) 268-2481
(505) 268-0889
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
70192
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2355
BLUE CROSS
NM
05
—
23556
—
NM
01
—
24998
PRESBYTERIAN
—
Enumeration date
02/07/2006
Last updated
07/08/2007
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