| Organization Name: | ALAN R JAKINS MD PC INC |
| NPI Number: | 1194003467 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAOMI JAKINS (OM) |
| Mailing Address: | 110 W College Blvd Ste F Roswell |
| State: | NM US |
| Postal Code: | 882015170 |
| Phone Number: | 5756276849 |
| Fax Number: | 5756270080 |
| NPI Enumeration Date: | 08/03/2011 |
| NPI Last Update Date: | 08/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 86 064 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |