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1780793018
RONALD A LISS
ALBUQUERQUE, NM
NPI
1780793018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM 99-249)
Enumeration Date
2006-08-30
Last Update Date
2008-08-15
Business Address
RONALD A LISS MD
1101 CENTRAL SE PMG EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Phone number: 505-841-1125
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Mailing Address
RONALD A LISS MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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