Individual provider · Type 1 NPI

Edgar R. Cordivin, MD

Diagnostic Radiology Physician · Gallup, NM

NPI number 1992760250 Active

Practice location

516 East Nizhoni Blvd.
Gallup, NM 87301-1337

Call (505) 722-1000 Map

Fax (505) 722-1192

Mailing address

1441 N 12th St
Phoenix, AZ 85006-2837

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X16830 (AZ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

37 other providers at this address

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About NPI 1992760250

Edgar R. Cordivin, MD's National Provider Identifier is 1992760250, issued on Apr 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Gallup, NM. The record was last updated on Apr 9, 2014.