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Contact Information

JEREMY RUDDELL
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM87131-0001
 Phone: 505-272-2610
 Fax: 505-272-1300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
Indicates primary specialty

NPI Profile & details for JEREMY RUDDELL · (Male)

NPI # 1437165024
Status Active
Credentials
Entity Individual
Enumeration date 08/01/2006
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NM License # AA-005
Hospital affiliation(s)
  • ST VINCENT HOSPITAL - (Acute Care)
    455 ST MICHAEL'S DRIVE
    SANTA FE, NM 87505
  • UNM HOSPITAL - (Acute Care)
    2211 LOMAS BOULEVARD NE
    ALBUQUERQUE, NM 87106
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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