“Military Health Care Provider” (Clovis, NM)
Location: Clovis, NM
Taxonomy: Military Health Care Provider.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1053805671
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JEREMY
GANZ
PA
Practice Location Address:
27TH SPECIAL OPERATIONS MEDICAL GROUP
224 W D. L. INGRAM AVENUE, BLDG. 1408
CLOVIS NM
88103
Practice Phone:
314-226-8463