Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | MD2006-0288 | NM |
NPI | 1346378015 |
---|---|
Provider Name | Francesco Standoli |
First Address | Albuquerque, NM 87154-0357 |
Second Address | Albuquerque, NM 87109-4495 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4720709 | (05) | NM |