Individual
DR. JEAN-PAUL HENRI DEDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 ROMA AVE NW, ALBUQUERQUE, NM 87102-2251
(505) 262-3542
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20090362
NM
208M00000X
Hospitalist Physician
Primary
MD2009-0362
NM
Other
Enumeration date
05/15/2007
Last updated
12/19/2024
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