Organization · NPI-2

Anasazi Medical Assocaites PA

Physician Assistant, Medical · Santa Fe, NM

NPI number1982854857
StatusActive
Last updated in NPPESSep 26, 2008

Details

NPI
1982854857
Entity type
Organization (NPI-2)
Legal business name
Anasazi Medical Assocaites PA
Organization subpart
No
Enumeration date
Sep 26, 2008
Last updated
Sep 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, MedicalPA2008-0043NMYes

Practice location

2055 S Pacheco St
Suite 600
Santa Fe, NM 87505-3997

Phone 505-473-0390 · Fax 505-473-0375

Mailing address

2055 S Pacheco St
Suite 600
Santa Fe, NM 87505-3997

Phone 505-473-0390 · Fax 505-473-0375

Authorized official

Rick E Ammons
Physician Assistant
5054730390

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