Tina J Southward, PAC
NPI #1164434387 in Roswell, New Mexico
Provider Information
- NPI Number
- 1164434387
- Entity Type
- Individual
- Name
- Tina J Southward, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Aug 13, 2006
- Last Updated
- Jul 12, 2019
Practice Location
- Address
- 75 UNIVERISTY BLVD
- Address 2
- STE 130
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88203
- Phone
- (575) 624-7207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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