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ALTEON HEALTH NEW MEXICO LLC

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

Provider NPI: 1457636706

Organization Information:
Organization Name:  ALTEON HEALTH NEW MEXICO LLC
Organization is not Subpart
Authorized Official:  KAIREE  HARGETT  ASST MANAGER, PROVIDER ENROLLMENT  775-222-0042

Practice Location:
2430 W PIERCE ST  CARLSBAD, NM 88220-3553 US
Tel: 575-887-4100  Fax: --

Business Mailing Address:
PO BOX 3299  CARSON CITY, NV 89702-3299 US
Tel: 240-686-2300  Fax: 240-686-2330

NPI Information:
NPI: 1457636706
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y207P00000XPhysicians
Emergency Medicine

Other Provider Identifiers:

IssuerNumberStateType
58674853NM05



American Medical Association 2012 taxonomy code information

Code: 207P00000X

Type:

Classification:



Definition:



MEDICAL JOBS NM - Page 1



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