Individual provider · Type 1 NPI

Jason J. Innerhofer, PA(ASCP)

Medical Physician Assistant · Albuquerque, NM

NPI number 1649000324 Active

Practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Mailing address

8820 Mancos St NW
Albuquerque, NM 87114-6459

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1649000324

Jason J. Innerhofer, PA(ASCP)'s National Provider Identifier is 1649000324, issued on Aug 6, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 6, 2024.