Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD2008-0782 | NM |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD2008-0782 | NM |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD2008-0782 | NM |
NPI | 1164491122 |
---|---|
Provider Name | Dr. Francisco Miguel Ralls |
First Address | Gilbert, AZ 85295-1825 |
Second Address | Albuquerque, NM 87102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32188500 | (05) | WI |
G21323 | (02) | WI |