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Contact Information

JEREMY GANZ, PA
27TH SPECIAL OPERATIONS MEDICAL GROUP
224 W D. L. INGRAM AVENUE, BLDG. 1408
CLOVIS, NM88103
 Phone: 314-226-8463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for JEREMY GANZ · (Male)

NPI # 1053805671
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/18/2018
Last updated 01/22/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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