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Individual

DR. AARON J MAYBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FACS

Contact information

Practice address
7115 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 888-3844
(505) 503-8275
Mailing address
PO BOX 36420, ALBUQUERQUE, NM 87176-6420
(505) 888-3844
(505) 503-8275

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
200171
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9553053
NM
Enumeration date
07/08/2006
Last updated
05/10/2012
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