Duke City Surgical Assisting LLC

NPI #1295191351 in Peralta, New Mexico

Provider Information

NPI Number
1295191351
Entity Type
Organization
Organization Name
Duke City Surgical Assisting LLC
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Jan 5, 2016
Last Updated
Jan 13, 2016

Practice Location

Address
28 VALLE LINDO RD
ZIP Code
87042-8230
Phone
(505) 280-5326

Authorized Official

Name
REGINA K GANTT
Title
PRESIDENT
Phone
(505) 280-5326

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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