Individual
NICHOLAS VILLALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106
(505) 841-1125
(505) 841-1737
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0598
MP
207P00000X
Emergency Medicine Physician
60459537
WA
207P00000X
Emergency Medicine Physician
M-1995
GU
207P00000X
Emergency Medicine Physician
MD193115
OR
207P00000X
Emergency Medicine Physician
Primary
MD2023-0649
NM
Other
Enumeration date
03/29/2010
Last updated
03/12/2026
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