Individual
DR. PAUL DEAN AVRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4052
Mailing address
PO BOX 2432, CORRALES, NM 87048-2432
(505) 898-6064
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
87-203
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B0007
—
NM
Enumeration date
04/26/2006
Last updated
07/08/2007
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