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Dr. Otoniel R Sullesta, MD
Diagnostic Radiology Physician in Carlsbad, New Mexico
NPI 1295816148

Otoniel R Sullesta is a Diagnostic Radiology Physician based in Carlsbad, NM and is specialized in Diagnostic Radiology. Otoniel R Sullesta practices in Carlsbad, NM and has the professional credentials of MD. The NPI Number for Otoniel R Sullesta is 1295816148 and holds a License No. 82319 (New Mexico).

The current practice location address for Otoniel R Sullesta is 2430 W Pierce St, Carlsbad, NM and can be reached out via phone at 575-887-4150.

Location: 2430 W Pierce St, Carlsbad, NM, 88220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295816148
Provider Name
Otoniel R Sullesta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2430 W Pierce St, Carlsbad, NM, 88220
Phone Number
575-887-4150
Fax Number
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28902 05 NM
institution
Provider Business Practice Location Address Details
Address
2430 W Pierce St
City
Carlsbad
State
New Mexico
Zip
88220
Phone Number
575-887-4150
Fax Number
person
Provider Business Mailing Address Details
Address
2430 W Pierce St
City
Carlsbad
State
New Mexico
Zip
88220
Phone Number
575-887-4150
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
82319 (New Mexico)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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