Dawn R Back, PA

NPI #1841273554 in Santa Rosa, New Mexico

Provider Information

NPI Number: 1841273554
Entity Type: Individual
Name: Dawn R Back, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 28, 2005
Last Updated: Feb 8, 2017

Practice Location

Address: 117 CAMINO DE VIDA
Address 2: SUITE 300
City: Santa Rosa
State: New Mexico
ZIP Code: 88435
Phone: (575) 472-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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