Arnold Ketchum PA C

NPI 1881684272 - Physician Assistant - 363A00000X

NPI Details
NPI 1881684272
Gender Male
Enumeration Date 10/26/2005
Last Updated 01/03/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
US HWY 491 NORTH
SHIPROCK NM, 87420, US
Phone (505) 368-6401
Fax (505) 368-6431
Business Location
PO BOX 160
SHIPROCK NM, 87420-0160, US
Phone (505) 368-6401
Fax (505) 368-6431
Toxanomy
Taxonomy Code 363A00000X
License State New Mexico
License Number PA20030033
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According to our database, Arnold Ketchum PA C NPI is 1881684272, taxonomy code is 363A00000X and license number is PA20030033, license state is located at New Mexico. Arnold Ketchum PA C physically located at Us Hwy 491 North, Shiprock NM, 87420. NPI Number Arnold Ketchum PA C has the Individual type.

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1881684272 NPI number is provided on an as is basis without warranty of any kind. 1881684272 is maintained by the National Plan & Provider Enumeration System. The contents of Arnold Ketchum PA C are for informational purposes only.