Individual
MR. JEFFERY CLIFFORD JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3200
Mailing address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 846-3200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1104344
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2011
Last updated
08/13/2021
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