Jeremy Ganz, PA

NPI #1053805671 in Clovis, New Mexico

Provider Information

NPI Number: 1053805671
Entity Type: Individual
Name: Jeremy Ganz, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 18, 2018
Last Updated: Jan 22, 2024

Practice Location

Address: 27TH SPECIAL OPERATIONS MEDICAL GROUP
Address 2: 224 W D. L. INGRAM AVENUE, BLDG. 1408
City: Clovis
State: New Mexico
ZIP Code: 88103
Phone: (314) 226-8463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider	171000000X
Physician Assistant	363A00000X	Primary

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