TEWODROS WODAJO

ALBUQUERQUE, NM
NPI1194325761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  MD2024-0163)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: NC  2023-00927)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-10-31
Last Update Date2024-07-10
Business Address
TEWODROS WODAJO
1100 CENTRAL AVE SE EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1125
Mailing Address
TEWODROS WODAJO
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770