Individual
EVAN PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 EUBANK BLVD SE BLDG 831832, ALBUQUERQUE, NM 87123-3453
(505) 412-1367
Mailing address
1515 EUBANK BLVD SE BLDG 831832, ALBUQUERQUE, NM 87123-3453
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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