Individual
MR. EDWARD MARTIN MCNERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
626 TAFT STREET, COLUMBUS, NM 88029-0690
(575) 531-2165
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2006
Last updated
11/17/2011
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