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NPI Profile for REAGAN R DUNNAHOO in LAS CRUCES, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant |
| NPI Number | 1568455616 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 08/24/2005 | |
| Last updated | 07/27/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REAGAN R DUNNAHOO
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REAGAN R DUNNAHOO, PA