Manuel Brandon Pacheco IV, MPAS, PA-C

NPI #1053969477 in Albuquerque, New Mexico

Provider Information

NPI Number: 1053969477
Entity Type: Individual
Name: Manuel Brandon Pacheco IV, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: Aug 28, 2019
Last Updated: Aug 28, 2019

Practice Location

Address: 6400 PASEO DEL NORTE NE
City: Albuquerque
State: New Mexico
ZIP Code: 87113-1718
Phone: (505) 596-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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