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Individual

JOHN EDWARD PANTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
11501 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2796
(505) 814-1333
(505) 990-3437
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9557
(505) 281-5180
(505) 281-5320

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/10/2013
Last updated
04/06/2021
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