Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2002-0477 | NM |
NPI | 1679716815 |
---|---|
Provider Name | Dr. Alan L Pearlman |
First Address | Santa Fe, NM 87506-8524 |
Second Address | Santa Fe, NM 87506-8524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 17/04/2009 |