Individual
FAY PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-6900
(505) 727-6913
Mailing address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-6200
(505) 727-6913
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2004-0014
NM
363AS0400X
Surgical Physician Assistant
PA9110347
FL
Other
Enumeration date
01/30/2006
Last updated
01/26/2018
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