NPI 1699743328

Catherine Marie Radovich, MD

Practitioner General Practice Physician Gallup, NM

Practice location

Address: 516 Nizhoni Blvd Gallup Indian Medical Center, Gallup, NM 87301-4555
Phone: (505) 722-1000
Mailing address: PO Box 1337 Gallup Indian Medical Center, Gallup, NM 87305

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 91287 (NM)

Other General Practice providers in New Mexico →

Registry record

NPI: 1699743328
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2006
Record last updated: 8 Jul 2007

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.