Provider Demographics
NPI:1811382955
Name:MAGAR, JAMIE DON (ATP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:DON
Last Name:MAGAR
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5501 WILSHIRE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2569
Mailing Address - Country:US
Mailing Address - Phone:505-338-6100
Mailing Address - Fax:505-359-6774
Practice Address - Street 1:5501 WILSHIRE AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2569
Practice Address - Country:US
Practice Address - Phone:505-338-6100
Practice Address - Fax:505-359-6774
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other