Male or Other

Mr. Dennis M. Juarros PHYSICIAN ASSISTANT

Physician Assistant in Los Alamos, NM(View on Map)

Full Name

Mr. Dennis M. Juarros PHYSICIAN ASSISTANT

NPI Number

1114058187

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/08/2007

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Mexico

License Number

96-PA 20

Contact
Information

Purpose

Mailing
Location

Address

751 COYOTE RIDGE RD
LOS ALAMOS NATIONAL LAB

City

Santa Fe
Los Alamos

State

NM
NM

Postal Code

87507-9630
87545-0001

Country

US
US

Telephone Number

N/A
(505) 667-7890

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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