Organization
FOROUZ JOWKAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOROUZ JOWKAR PA (CEO MEDICAL DIRECTOR)
(505) 424-9172
Entity
Organization
Contact information
Practice address
1925 ASPEN DR, # 100B, SANTA FE, NM 87505-5459
(505) 424-9172
(505) 438-1814
Mailing address
1925 ASPEN DR, # 100B, SANTA FE, NM 87505-5459
(505) 424-9172
(505) 438-1814
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2008-0051
NM
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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