Individual
DANE THOMAS GARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106
(505) 272-2711
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13422
TX
363A00000X
Physician Assistant
PA2018-0023
NM
Other
Enumeration date
04/11/2018
Last updated
09/25/2023
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