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MR. MICHAEL LEE ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPA

Contact information

Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 751-5872
Mailing address
PO BOX 1861, 818 HILL DRIVE, RANCHOS DE TAOS, NM 87557-1861
(830) 469-6009

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
09NM1012
UT
247100000X
Radiologic Technologist
161279
NM

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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