Individual
JODY MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4316 CARLISLE BLVD NE, STE C, ALBUQUERQUE, NM 87107-4829
(505) 888-1075
(505) 888-1082
Mailing address
4316 CARLISLE BLVD NE, STE C, ALBUQUERQUE, NM 87107-4829
(505) 888-1075
(505) 888-1082
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0044
NM
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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