Individual
JOHN J PAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 MAIN ST. SW, SUITE K, LOS LUNAS, NM 87031
(505) 916-5912
Mailing address
1400 MAIN ST. SW, SUITE K, LOS LUNAS, NM 87031
(505) 916-5912
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
36876
IA
2085R0202X
Diagnostic Radiology Physician
48125
WI
2085R0202X
Diagnostic Radiology Physician
49207
MN
2085R0202X
Diagnostic Radiology Physician
Primary
MD2018-0036
NM
Other
Enumeration date
06/15/2005
Last updated
09/13/2018
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