JON HALLSTROM

ALBUQUERQUE, NM
NPI1508039686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NM  MB2014-0117)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  A125160)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-04-09
Last Update Date2023-07-11
Business Address
JON HALLSTROM
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-2269
Mailing Address
JON HALLSTROM
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120