Individual
MR. DENNIS M. JUARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
LOS ALAMOS NATIONAL LAB, OCCUPATIONAL MEDICINE, MS D421, LOS ALAMOS, NM 87545-0001
(505) 667-7890
Mailing address
751 COYOTE RIDGE RD, SANTA FE, NM 87507-9630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
96-PA 20
NM
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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