Donita Sue Demontiney, PA-C

NPI #1811179211 in Acoma, New Mexico

Provider Information

NPI Number: 1811179211
Entity Type: Individual
Name: Donita Sue Demontiney, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 28, 2007
Last Updated: Feb 2, 2015

Practice Location

Address: 80 B VETERANS BLVD
Address 2: I-40, EXIT 102
City: Acoma
State: New Mexico
ZIP Code: 87034
Phone: (505) 552-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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