JERRY R MONTOYA

ALBUQUERQUE, NM
NPI1194788323
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: NM  80-PA011)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
MR. JERRY R MONTOYA PA-C
1501 SAN PEDRO SE
ALBUQUERQUE, NM 87108-9874
Phone number: 505-265-1711
Mailing Address
MR. JERRY R MONTOYA PA-C
HC 66-196-3
MOUNTAINAIR, NM 87036
Phone number: 505-265-1711