Individual
RONALD J ESCUDERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 WOLCOTT AVE NE, SUITE A, ALBUQUERQUE, NM 87109-4571
(505) 855-5500
(505) 855-5501
Mailing address
4100 WOLCOTT AVE NE, SUITE A, ALBUQUERQUE, NM 87109-4571
(505) 855-5500
(505) 855-5501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
91-196
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42085
—
NM
Enumeration date
07/18/2005
Last updated
07/08/2007
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