MEDICARE: DEBORAH B JARMUL PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	95-PA27	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427142801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH B JARMUL PA-C

Provider Business Mailing Address
First Line	:	4901 LANG AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4495
Country	:	US
Telephone Number	:	505-842-8171
Fax Number	:	505-246-0684

Provider Business Practice Location Address
First Line	:	4901 LANG AVE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87109-4495
Country	:	US
Telephone Number	:	505-842-8171
Fax Number	:	505-246-0684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/12/2019

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