Individual
JASON W SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
6100 PAN AMERICAN EAST FWY NE STE 355, ALBUQUERQUE, NM 87109-3460
(505) 452-7979
Mailing address
6100 PAN AMERICAN EAST FWY NE STE 355, ALBUQUERQUE, NM 87109-3460
(505) 452-7979
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD2019-0687
NM
Other
Enumeration date
06/22/2012
Last updated
08/19/2019
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