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Individual

DAVID ANTHONY HONABERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1201 RIO RANCHO BLVD NE, SUITE E, RIO RANCHO, NM 87124
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3394
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36277266
NM
01
720872
AHCCCS
AZ
Enumeration date
10/31/2006
Last updated
04/25/2013
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