Individual
DR. JASON E. MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 TIJERAS AVE NE STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
Mailing address
1020 TIJERAS AVE NE STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD2011-0142
NM
Other
Enumeration date
01/07/2008
Last updated
03/17/2018
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