JEREMY GANZ

CLOVIS, NM
NPI1053805671
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies171000000X Military Health Care Provider
Enumeration Date2018-06-18
Last Update Date2024-01-22
Business Address
JEREMY GANZ PA
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D. L. INGRAM AVENUE, BLDG. 1408
CLOVIS, NM 88103
Phone number: 314-226-8463
Mailing Address
JEREMY GANZ PA
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB, NM 88103
Phone number: