Organization
HIGH DESERT DOPPLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN KENNETH AYER JAIN JR. RVT (PRESIDENT)
(505) 350-3397
Entity
Organization
Contact information
Practice address
9501 LA PLAYA ST NE, ALBUQUERQUE, NM 87111-3409
(505) 350-3397
Mailing address
9501 LA PLAYA ST NE, ALBUQUERQUE, NM 87111-3409
(505) 350-3397
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
07/21/2008
Last updated
03/12/2013
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