Andrew Thomas Theus, PA-C

NPI #1568029239 in Estancia, New Mexico

Provider Information

NPI Number: 1568029239
Entity Type: Individual
Name: Andrew Thomas Theus, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 28, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 903 5TH ST # C
City: Estancia
State: New Mexico
ZIP Code: 87016-1155
Phone: (505) 384-2777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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