TIMOTHY J VANDERJAGT

SANTA FE, NM
NPI1780876540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NM  MD2007-0397)
Enumeration Date2007-08-15
Last Update Date2008-05-09
Business Address
Mr. TIMOTHY J VANDERJAGT M.D.
455 SAINT MICHAELS DR
SANTA FE, NM 87505-7601
Phone number: 505-820-5274
Mailing Address
Mr. TIMOTHY J VANDERJAGT M.D.
465 SAINT MICHAELS DR SUITE 115
SANTA FE, NM 87505-7670
Phone number: 505-986-8620