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Individual

JEREMIAH KENT RANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2402 W PIERCE ST, STE 3C, CARLSBAD, NM 88220-3537
(575) 887-0530
(575) 885-6309
Mailing address
2402 W PIERCE ST, STE 3C, CARLSBAD, NM 88220-3537
(575) 887-0530
(575) 885-6309

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
82-111
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
25940
NM
Enumeration date
08/23/2006
Last updated
05/03/2011
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