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Search › New Mexico › 183500000X

Randolph Mattila

NPI 1740680099 · on the registry since 2014

Practice

Address
1208 Bonita St
Grants, NM 87020
Phone
(505) 287-2600
Organisation at this address
Parkhurst Pharmacy
Parkhurst Pharmacy
Cibola Specialty Associates
Bestcare Pharmacy Grants Llc
Arnold W. Valdivia, M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico