FOROUZ JOWKAR LLC NPI 1225457260

NPI Information

FOROUZ JOWKAR LLC is a medical physician assistant in Santa Fe, NM. FOROUZ JOWKAR LLC NPI is 1225457260. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1925 ASPEN DR
# 100B
SANTA FE, NM
ZIP 87505-459
Phone: (505) 424-9172
Fax: (505) 438-1814

The provider's authorized official is Forouz Jowkar .
The authorized official title is Ceo Medical Director and has the following contact phone number (505) 424-9172.

The enumeration date for this NPI number is 4/7/2014 and was last updated on 4/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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