Dallas W Lipscomb, PA-C

NPI #1194724708 in Elephant Butte, New Mexico

Provider Information

NPI Number: 1194724708
Entity Type: Individual
Name: Dallas W Lipscomb, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 15, 2005
Last Updated: Sep 23, 2020

Practice Location

Address: 600 NM HWY 195
Address 2: STE A
City: Elephant Butte
State: New Mexico
ZIP Code: 87935-0449
Phone: (575) 744-4872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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