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
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2746
- Phone
- (505) 753-7111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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