Jason Conrad Hrdina PA-C

NPI 1366617524 - Physician Assistant - 363A00000X

NPI Details
NPI 1366617524
Gender Male
Enumeration Date 04/28/2008
Last Updated 10/03/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2211 LOMAS BLVD NE
ALBUQUERQUE NM, 87106-2745, US
Phone (505) 272-2233
Fax (505) 272-0432
Business Location
2211 LOMAS BLVD NE
ALBUQUERQUE NM, 87106-2745, US
Phone (505) 272-2233
Fax (505) 272-0432
Toxanomy
Taxonomy Code 363A00000X
License State New Mexico
License Number PA2008-0054
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According to our database, Mr. Jason Conrad Hrdina PA-C NPI is 1366617524, taxonomy code is 363A00000X and license number is PA2008-0054, license state is located at New Mexico. Jason Conrad Hrdina PA-C physically located at 2211 Lomas Blvd Ne, Albuquerque NM, 87106-2745. NPI Number Jason Conrad Hrdina PA-C has the Individual type.

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1366617524 NPI number is provided on an as is basis without warranty of any kind. 1366617524 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Conrad Hrdina PA-C are for informational purposes only.