Individual
REBECCA DUCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8300 CONSTITUTION AVE NE, KASEMAN HOSPITAL, ALBUQUERQUE, NM 87110-7613
(505) 291-2770
(505) 291-2706
Mailing address
1720 LOUISIANA BLVD NE, SUITE #401, ALBUQUERQUE, NM 87110-7022
(505) 260-4300
(505) 260-4371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
81-PA016
NM
363AM0700X
Medical Physician Assistant
Primary
81-PA016
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93013
—
NM
Enumeration date
03/20/2007
Last updated
07/23/2009
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