Individual
DANIEL PAZ-RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CKTT
Contact information
Practice address
4700 COAL AVE SE, ALBUQUERQUE, NM 87108-2804
(505) 265-3711
Mailing address
2704 LOS ANAYAS RD NW, ALBUQUERQUE, NM 87104-2934
(505) 363-3378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
608
NM
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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