| Bradley Kanode MD | |
|
1301 8th St Las Vegas NM 87701-4221 | |
| (505) 425-2850 | |
| (505) 425-2847 |
| Full Name | Bradley Kanode MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 8th St, Las Vegas, New Mexico |
| Authorized Official Name and Position | Nancy Kanode (OFFICER) |
| Authorized Official Contact | 5054252850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Kanode MD 1301 8th St Las Vegas NM 87701-4221 Ph: (505) 425-2850 | Bradley Kanode MD 1301 8th St Las Vegas NM 87701-4221 Ph: (505) 425-2850 |
| NPI Number | 1245429216 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245429216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2000216 (New Mexico) | Primary |
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