Individual
JULIE A HINZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE, SUITE 301, ALBUQUERQUE, NM 87102-3661
(505) 262-7281
(505) 262-7371
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7026
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2003002
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9333231
—
NM
Enumeration date
07/08/2006
Last updated
04/24/2008
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