Mr. Cleveland Hendrick Pardue III
Gynecologist
465 St Michaels Drive Suite 202
Santa Fe
, New Mexico 87505
Mr. Cleveland Hendrick Pardue III
Gynecologist
465 St Michaels Drive Suite 202
Santa Fe
, New Mexico 87505
(505) 820-5645
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Mr. Cleveland Hendrick Pardue III
- 455 Saint Michaels Dr Physician Practices/central Billing Office
- Santa Fe, NM
- Zip : 87505-7601
- Fax : (505) 820-5645
- Phone : (505) 820-5227
Second Address
- Mr. Cleveland Hendrick Pardue III
- 465 St Michaels Drive Suite 202
- Santa Fe, NM
- Zip : 87505
- Fax : (505) 984-1116
- Phone : (505) 984-0303
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FAQs
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Is Mr. Cleveland Hendrick Pardue III a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 82101 | NM |
National Provider Identifier
| NPI | 1174622393 |
|---|---|
| Provider Name | Mr. Cleveland Hendrick Pardue III |
| First Address | Santa Fe, NM 87505-7601 |
| Second Address | Santa Fe, NM 87505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/09/2006 |
| Last Update Date | 24/10/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20404 | (05) | NM |
| D43257 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.