NPI 1053993618

Russell Rodolfo de Palma, CP

Practitioner Prosthetist Albuquerque, NM

Practice location

Address: 1010 Lead Ave SE STE 400, Albuquerque, NM 87106-5214
Phone: (505) 247-0430
Fax: (505) 820-2392
Mailing address: 1691 Galisteo St STE B, Santa Fe, NM 87505-4781

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

Other Prosthetist providers in New Mexico →

Registry record

NPI: 1053993618
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2021
Record last updated: 23 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.