Individual provider · NPI-1

Walter Barney, surgical assistant

Physician Assistant, Surgical · Santa Fe, NM

NPI number1699272633
StatusActive
Last updated in NPPESAug 23, 2019

Details

NPI
1699272633
Entity type
Individual (NPI-1)
Name
Walter Barney
Credential
surgical assistant
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2018
Last updated
Aug 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical––Yes

Practice location

708 Luna Vis
Santa Fe, NM 87506-2003

Phone 505-850-7953 · Fax 505-983-8724

Mailing address

708 Luna Vis
Santa Fe, NM 87506-2003

Phone 505-850-7953 · Fax 505-983-8724

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