Alexander Thomas Vining, PA-C

NPI #1578135521 in Espanola, New Mexico

Provider Information

NPI Number
1578135521
Entity Type
Individual
Name
Alexander Thomas Vining, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jul 10, 2021
Last Updated
Feb 8, 2024

Practice Location

Address
1010 SPRUCE ST
Address 2
ENERGENCY MEDICINE - ESPANOLA
ZIP Code
87532-2746
Phone
(505) 753-7111

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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