JOHN EDWARD SHORT

EL PASO, TX
NPI1700935277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA03258)
Enumeration Date2007-01-10
Last Update Date2012-02-16
Business Address
-- JOHN EDWARD SHORT PA-C
10400 VISTA DEL SOL DR STE 204
EL PASO, TX 79925-7924
Phone number: 915-598-1005
Mailing Address
-- JOHN EDWARD SHORT PA-C
544 PINAR DEL RIO DR
EL PASO, TX 79932-1912
Phone number:
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