Individual
MILA BERDECIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(407) 754-8195
Mailing address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-5144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9701248
NC
207Q00000X
Family Medicine Physician
MD16115
SC
207Q00000X
Family Medicine Physician
Primary
MD2011-0759
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161158
—
SC
05
—
1972549970
—
NC
Enumeration date
06/20/2006
Last updated
08/26/2024
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