Individual
MICHAEL J.D. HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA, PA-S
Contact information
Practice address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
(505) 266-5565
Mailing address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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