Individual
RICHARD IRA DORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO BLVD SE, MEDICAL SERVICE 111, ALBUQUERQUE, NM 87107
(505) 265-1711
(505) 256-2803
Mailing address
2526 ELFEGO RD NW, ALBUQUERQUE, NM 87107-3011
(505) 265-1711
(505) 256-2803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
88-155
NM
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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