NPI 1174502090

Richard James Serkowski, DOMPHCPE

Practitioner Aerospace Medicine Physician Cannon Afb, NM

Practice location

Address: 511 N Torch Blvd Bldg 300, Cannon Afb, NM 88103-5109
Phone: (575) 784-0287
Mailing address: 1599 J St Bldg 109, Grand Forks Afb, ND 58205-6332

Registered specialties (2)

Aerospace Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 42767 (WI)

Other Preventive Medicine providers in New Mexico →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 42767-021 (WI)

Other General Practice providers in New Mexico →

Registry record

NPI: 1174502090
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2006
Record last updated: 27 Mar 2018

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.