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Individual

GREGORY E. JOCHEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PMG HIGH RESORT 4005, 4005 HIGH RESORT BLVD, RIO RANCHO, NM 87124
(505) 462-6000
(505) 462-8686
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94-274
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16107
NM
Enumeration date
03/22/2007
Last updated
03/24/2016
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