Individual
STEVEN M PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-6441
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-6441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2013-0026
NM
363AM0700X
Medical Physician Assistant
PA2013-0026
NM
363AS0400X
Surgical Physician Assistant
PA2013-0026
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77435303
—
NM
Enumeration date
05/22/2013
Last updated
01/15/2024
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