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ALEXANDER CHRISTOPHER DERADKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
MSC 10-5550 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4661
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO2022-0123
NM
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DO2022-0123
NM

Other

Enumeration date
03/23/2019
Last updated
07/08/2025
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