Doctor Name: | DR. JEFFREY J HAWKINS |
NPI Number: | 1396704565 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 93-281 |
Business Practice Address: | 73 Paseo Del Paisano Santa Fe, NM - 875067984 |
Business Phone Number: | 5059881045 |
Business Fax Number: | 8883516207 |
Mailing Address: | 73 Paseo Del Paisano, SANTA FE |
State: | NM |
Postal Code: | 875067984 |
Phone Number: | 5059881045 |
Fax Number: | 8883516207 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 93-281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |