Individual
KAREN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
883 LEAD AVE SE, STE A, ALBUQUERQUE, NM 87102-3644
(505) 247-8820
(505) 246-9421
Mailing address
883 LEAD AVE SE, STE A, ALBUQUERQUE, NM 87102-3644
(505) 247-8820
(505) 246-9421
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20030049
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59535318
—
NM
Enumeration date
05/16/2006
Last updated
05/14/2008
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