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JONATHON LAVALLEY, PA-C
PA-C
Physician Assistant
NPI: 1871915702IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA2013-0089(NM)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 1423 E ROOSEVELT AVE
GRANTS, NM 87020 - Phone
- (505) 287-6500
Quick Facts
- NPI
- 1871915702
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 13
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