Individual
JUAN PABLO NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3399 STRAUSS AVE STE 219, INDIAN HEAD, MD 20640-5164
(575) 693-2509
Mailing address
7900 PURITAN CT NE, ALBUQUERQUE, NM 87109-5179
(575) 693-2509
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207P00000X
Emergency Medicine Physician
0101283201
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
04/13/2021
Last updated
10/07/2024
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