Individual
ARNOLDO ALEJANDRO PADILLA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1217 BONITA ST, GRANTS, NM 87020-2103
(505) 287-2958
(505) 443-8342
Mailing address
1217 BONITA ST, GRANTS, NM 87020-2103
(505) 287-2958
(505) 443-8342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2023-1468
NM
207R00000X
Internal Medicine Physician
MD28556
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246144
—
OR
Enumeration date
08/15/2007
Last updated
01/02/2025
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