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Contact Information

JASON E MUDD, MD
1020 TIJERAS AVE NE STE 22
ALBUQUERQUE, NM87106-4749
 Phone: 505-848-3124
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JASON E MUDD · (Male)

NPI Number 1881879005
Status Active
Credentials MD
Entity Individual
Enumeration date 01/07/2008
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2011-0142
Hospital affiliation(s)
  • LOVELACE MEDICAL CENTER - (Acute Care)
    601 DR MARTIN LUTHER KING JR AVE NE
    ALBUQUERQUE, NM 87102
  • LOVELACE WESTSIDE HOSPITAL - (Acute Care)
    10501 GOLF COURSE ROAD NW
    ALBUQUERQUE, NM 87114
  • LOVELACE WOMEN'S HOSPITAL - (Acute Care)
    4701 MONTGOMERY BOULEVARD NE
    ALBUQUERQUE, NM 87109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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