RONALD A LISS

ALBUQUERQUE, NM
NPI1780793018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  99-249)
Enumeration Date2006-08-30
Last Update Date2008-08-15
Business Address
RONALD A LISS MD
1101 CENTRAL SE PMG EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106
Phone number: 505-841-1125
Mailing Address
RONALD A LISS MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356