Edgar R Cordivin in Gallup - Diagnostic Radiology
Edgar R Cordivin - NPI 1992760250
Edgar R Cordivin is a Diagnostic Radiology in Gallup, New Mexico. Edgar R Cordivin practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Edgar R Cordivin is 1992760250. The last update date is 2014-04-09.
Edgar R Cordivin's current location address is 516 East Nizhoni Blvd., Gallup, New Mexico. You can contact this provider via phone number 5057221000 and fax number 5057221192. The mailing address for Edgar R Cordivin is 516 East Nizhoni Blvd., Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar R Cordivin |
|---|---|
| Address | 516 East Nizhoni Blvd., Gallup, New Mexico |
| Phone Number | 5057221000 |
| Fax Number | 5057221192 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1992760250 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2014-04-09 |
Provider Mailing Address Detail
| Address | 516 East Nizhoni Blvd. |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873011337 |
| Phone Number | 5057221000 |
| Fax Number | 5057221192 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 16830 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 182767 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edgar R Cordivin by the Centers for Medicare & Medicaid Services?
The Edgar R Cordivin has been issued the NPI (National Provider Identifier) 1992760250 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Edgar R Cordivin?
The Edgar R Cordivin is physically situated at 516 East Nizhoni Blvd., in the city of Gallup, state of NM, with the postal code 873011337.
What is Edgar R Cordivin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Edgar R Cordivin's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
When did the Edgar R Cordivin receive its 1992760250?
The Edgar R Cordivin was issued its 1992760250 on 2006-04-19, which is the date when the organization was assigned this unique identifier.
When was the Edgar R Cordivin's information last updated?
The Edgar R Cordivin's information was last updated on 2014-04-09.