Provider Demographics
NPI:1184709222
Name:RAGLAND, AUBREY EARL (DOM)
Entity type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:EARL
Last Name:RAGLAND
Suffix:
Gender:M
Credentials:DOM
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Mailing Address - Street 1:3301 MONROE ST NE
Mailing Address - Street 2:#J101
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1860
Mailing Address - Country:US
Mailing Address - Phone:505-884-1485
Mailing Address - Fax:505-888-6701
Practice Address - Street 1:7510 MONTGOMERY BLVD NE
Practice Address - Street 2:SUITE 206
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-1500
Practice Address - Country:US
Practice Address - Phone:505-884-1701
Practice Address - Fax:505-884-1785
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2008-06-24
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Provider Licenses
StateLicense IDTaxonomies
NM687171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist