Individual
ELLEN RAIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7000
Mailing address
602 SOLANO DR SE, ALBUQUERQUE, NM 87108-3381
(505) 255-4671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NM80-81
NM
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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