Mary Loring Daggett, PHYSICIAN ASSISTANT

NPI #1265551469 in Los Alamos, New Mexico

Provider Information

NPI Number
1265551469
Entity Type
Individual
Name
Mary Loring Daggett, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Mar 28, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
BIKINI ATOLL ROAD MS D421
ZIP Code
87545
Phone
(505) 665-2631

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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