Individual
MR. ERSAN EROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4208 CENTRAL AVE SW STE G, ALBUQUERQUE, NM 87105-1695
(505) 777-3001
Mailing address
PO BOX 740018, ATLANTA, GA 30374-0018
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5180
WI
363A00000X
Physician Assistant
85008357
IL
363A00000X
Physician Assistant
Primary
PA2024-0077
NM
363A00000X
Physician Assistant
PA9106966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016191700
—
FL
Enumeration date
11/15/2012
Last updated
01/30/2025
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