Organization
JOHN E GUGGEDAHL MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E GUGGEDAHL MD (DIRECTOR)
(915) 833-8996
Entity
Organization
Contact information
Practice address
6955 N MESA ST, SUITE 104, EL PASO, TX 79912-4442
(915) 833-8996
Mailing address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4031
TX
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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