Individual
DR. JASON IAN MCISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(505) 727-2054
Mailing address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(505) 727-2054
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2016-0179
NM
Other
Enumeration date
07/16/2007
Last updated
10/08/2021
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