Edgar R Cordivin, MD
NPI #1992760250 in Gallup, New Mexico
Provider Information
- NPI Number
- 1992760250
- Entity Type
- Individual
- Name
- Edgar R Cordivin, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- MD
- Enumeration Date
- Apr 19, 2006
- Last Updated
- Apr 9, 2014
Practice Location
- Address
- 516 EAST NIZHONI BLVD.
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-1337
- Phone
- (505) 722-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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