-- EDGAR R CORDIVIN -- MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1992760250- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 516 EAST NIZHONI BLVD., GALLUP, NM, 873011337
- Phone
- (505) 722-1000
- Fax
- (505) 722-1192
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: AZ #16830
All Addresses
MAILING
1441 N 12TH ST
PHOENIX, AZ, 850062837