Beatric E Balsamo, PA

NPI #1871638403 in Taos, New Mexico

Provider Information

NPI Number
1871638403
Entity Type
Individual
Name
Beatric E Balsamo, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Feb 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1399 WEIMER RD STE 200
Address 2
NDCBU BOX 5775
City
Taos
ZIP Code
87571-6349
Phone
(505) 758-2224

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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