Individual provider · Type 1 NPI
Catherine Marie Radovich, MD
General Practice Physician · Gallup, NM
NPI number
1699743328
Active
Practice location
516 Nizhoni Blvd, Gallup Indian Medical Center
Gallup, NM 87301-4555
Mailing address
PO Box 1337, Gallup Indian Medical Center
Gallup, NM 87305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 91287 (NM) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1699743328
Catherine Marie Radovich, MD's National Provider Identifier is 1699743328, issued on Mar 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gallup, NM. The record was last updated on Jul 8, 2007.