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Individual

MR. JAMES MARC BEVERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6101 IMPERATA ST NE, #2422, ALBUQUERQUE, NM 87111
(505) 264-8364
(888) 823-2280
Mailing address
6101 IMPERATA ST NE, #2422, ALBUQUERQUE, NM 87111
(505) 264-8364
(888) 823-2280

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001-PA16
NM

Other

Enumeration date
09/23/2010
Last updated
10/23/2014
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