Individual
HEATHER C DRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
9201 MONTGOMERY BLVD NE STE 301, ALBUQUERQUE, NM 87111-2467
(505) 717-1076
Mailing address
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111-2684
(505) 503-6800
(505) 884-3004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA053
NM
363AM0700X
Medical Physician Assistant
Primary
NM2001-PA21
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67303030
—
NM
Enumeration date
07/26/2006
Last updated
02/17/2022
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