Dr DEREK CARL BRONSON is a male medical professional, specializing in Physician Assistant. He graduated in 2017.
PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA
2300 E 30TH ST
BLDG D 102
FARMINGTON
NM
874018990
Tel: 5053274429
| Npi | 1962932343 |
| Pac Id | 9436415700 |
| Professional Enrollment Id | I20171102002998 |
| Last Name | BRONSON |
| First Name | DEREK |
| Middle Name | CARL |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | PINON HILLS EAR NOSE AND THROAT ASSOCIATES PA |
| Group Practice Pac Id | 8527080175 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 2300 E 30TH ST |
| Line 2 Street Address | BLDG D 102 |
| Marker Of Address Line 2 Suppression | |
| City | FARMINGTON |
| State | NM |
| Zip Code | 874018990 |
| Phone Number | 5053274429 |
| Hospital Affiliation Ccn 1 | 320005 |
| Hospital Affiliation Lbn 1 | SAN JUAN REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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