Johnny B Sisneros, PAC

NPI #1093705857 in Alamosa, Colorado

Provider Information

NPI Number: 1093705857
Entity Type: Individual
Name: Johnny B Sisneros, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 24, 2005
Last Updated: Feb 19, 2020

Practice Location

Address: 106 BLANCA AVE STE 300
City: Alamosa
State: Colorado
ZIP Code: 81101-2340
Phone: (719) 589-3658

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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