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Contact Information

RANDALL NEDERHOFF
2400 UNSER BLVD SE
RIO RANCHO, NM87124-4740
 Phone: 505-253-2100
 Fax: 850-253-2121
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RANDALL NEDERHOFF · (Male)

NPI # 1679535678
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2006
Last updated 11/02/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 88-232
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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