Individual
MR. PETER DAVID PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH., PA-C
Contact information
Practice address
4700 JEFFERSON ST NE, SUITE 700, ALBUQUERQUE, NM 87109-2136
(505) 881-5080
(505) 872-2306
Mailing address
15 CALLE ALFREDO, ALGODONES, NM 87001-8025
(505) 235-8031
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2001PA02
NM
Other
Enumeration date
10/17/2005
Last updated
01/22/2013
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