IndividualActive
Amanda Medoro, M.D.
NPI 1356662670 · Emergency Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1356662670
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 54129 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1 University of New Mexico Msc11 6025
Albuquerque, NM 87131-0001
Phone: (505) 272-5062
Fax: (505) 925-7290
Approximate (ZIP-level) locationGet directions
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2010-06-21
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.