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Individual

MARGARET L MORESHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA C

Contact information

Practice address
500 WALTER NE, SUITE 204, ALBUQERQUE, NM 87102
(505) 842-5518
(505) 247-8509
Mailing address
2041 JENSEN DR NE, ALBUQUERQUE, NM 87112
(505) 292-5327
(505) 247-8509

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA20030024
NM

Other

Enumeration date
12/08/2006
Last updated
07/08/2007
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