Individual
MR. JIMMY BURT BLAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS, HAD
Contact information
Practice address
8400 MENAUL BLVD NE, SUITE F, ALBUQUERQUE, NM 87112-2260
(505) 299-7777
(505) 299-7777
Mailing address
8400 MENAUL BLVD NE, SUITE F, ALBUQUERQUE, NM 87112-2260
(505) 299-7777
(505) 299-7777
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0832
NM
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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