Autumn Marie Gonzales
NPI #1073275756 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1073275756
- Entity Type
- Individual
- Name
- Autumn Marie Gonzales
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Oct 9, 2021
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 3917 WEST RD STE A
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2292
- Phone
- (505) 661-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Medical — Medical |
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