Individual
DAVID JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 925-4726
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2014-0488
NM
390200000X
Student in an Organized Health Care Education/Training Program
2011026844
MO
Other
Enumeration date
06/18/2010
Last updated
03/29/2025
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