Doctor Name: | MR. RAYMOND ALLEN PADILLA |
NPI Number: | 1023182276 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MEDICAL TECHNOLOGIST |
License Number: | |
Business Practice Address: | 1090 Goat Springs Road Taos Picuris Indian Health Center Taos, NM - 87571 |
Business Phone Number: | 5057584224 |
Business Fax Number: | 5057515211 |
Mailing Address: | Po Box 1956, 1090 Goat Springs Road TAOS |
State: | NM |
Postal Code: | 87571 |
Phone Number: | 5057584224 |
Fax Number: | 5057515211 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |