NPI 1720416498

Elliot Kramer

Practitioner Specialist Corrales, NM

Practice location

Address: 565 Gutierrez Rd, Corrales, NM 87048-8467
Phone: (505) 301-3629
Mailing address: PO Box 3197, Corrales, NM 87048-3197

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4550 (NM)

Other Specialist providers in New Mexico →

Registry record

NPI: 1720416498
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2013
Record last updated: 16 Oct 2013

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.