Individual
FREDERICK ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 WOODWARD PL NE, ALBUQUERQUE, NM 87102-2705
(505) 938-8460
(505) 938-8432
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
03/22/2017
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