Individual
IVAN G PINON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 46304TH, PMG CEDAR ENDOCRINOLOGY, ALBUQUERQUE, NM 87106-4917
(505) 563-6400
(505) 563-6409
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
94356
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35378824
—
NM
Enumeration date
10/03/2006
Last updated
10/09/2024
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