Medoro, Ian
Medoro, Ian is an individual health care provider with primary practice located at 1100 Central Ave Se , Albuquerque NM 87106-4930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Medoro, Ian can be contacted via phone (505) 841-1125.Contact Information
Primary practice address
1100 Central Ave Se
Albuquerque NM 87106-4930
Phone: (505) 841-1125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD2016-0441 | New Mexico |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD2016-0441 | New Mexico |
Profile Details
| NPI number | 1467773739 |
|---|---|
| LBN Legal business name | Medoro, Ian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Jul 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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