Daniel Peralta

NPI #1952990079 in Taos, New Mexico

Provider Information

NPI Number: 1952990079
Entity Type: Individual
Name: Daniel Peralta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 13, 2021
Last Updated: Jan 13, 2021

Practice Location

Address: 630 PASEO DEL PUEBLO SUR
City: Taos
State: New Mexico
ZIP Code: 87571-6070
Phone: (575) 758-7430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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