Individual
DR. ALAN R JAKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W COLLEGE BLVD, SUITE F, ROSWELL, NM 88201-5170
(505) 627-6849
(505) 627-0080
Mailing address
110 W COLLEGE BLVD, SUITE F, ROSWELL, NM 88201-5170
(505) 627-6849
(505) 627-0080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86-064
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36939
—
NM
Enumeration date
07/20/2006
Last updated
07/09/2007
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