Lookup NPI Numbers from the NPI Registry
NPI Profile for AUTUMN M GONZALES in LOS ALAMOS, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1073275756 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/09/2021 | |
| Last updated | 08/09/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AUTUMN M GONZALES
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AUTUMN M GONZALES