EDGAR R CORDIVIN

GALLUP, NM
NPI1992760250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ  16830)
Enumeration Date2006-04-19
Last Update Date2014-04-09
Business Address
-- EDGAR R CORDIVIN MD
516 EAST NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
Mailing Address
-- EDGAR R CORDIVIN MD
1441 N 12TH ST
PHOENIX, AZ 85006-2837
Phone number:
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