Rebecca J Shoden
Gynecologist
883 Lead Ave Se Ste A
Albuquerque
, New Mexico 87102-3644
Rebecca J Shoden
Gynecologist
883 Lead Ave Se Ste A
Albuquerque
, New Mexico 87102-3644
(505) 246-9421
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Rebecca J Shoden
- 883 Lead Ave Se Ste A
- Albuquerque, NM
- Zip : 87102-3644
- Fax : (505) 246-9421
- Phone : (505) 247-8820
Second Address
- Rebecca J Shoden
- 883 Lead Ave Se Ste A
- Albuquerque, NM
- Zip : 87102-3644
- Fax : (505) 246-9421
- Phone : (505) 247-8820
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 83-111 | NM |
National Provider Identifier
| NPI | 1043266786 |
|---|---|
| Provider Name | Rebecca J Shoden |
| First Address | Albuquerque, NM 87102-3644 |
| Second Address | Albuquerque, NM 87102-3644 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 26/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 26963 | (05) | NM |
| E07884 | (02) | NM |
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.