person
Patrick Keenan Shanley, PA-C
Surgical Physician Assistant in Taos, New Mexico
NPI 1033386420

Patrick Keenan Shanley is a Surgical Physician Assistant based in Taos, NM and is specialized in Surgical. Patrick Keenan Shanley practices in Taos, NM and has the professional credentials of PA-C. The NPI Number for Patrick Keenan Shanley is 1033386420 and holds a License No. PA2008-0045 (New Mexico).

The current practice location address for Patrick Keenan Shanley is 1219 Gusdorf Rd Ste A, Taos, NM and can be reached out via phone at 505-758-0009 and via fax at 505-758-8736. You can also correspond with Patrick Keenan Shanley through the mailing address at 1397 WEIMER RD, TAOS, NM - 87571-6253 (mailing address contact number: 505-758-0009).

Location: 1219 Gusdorf Rd Ste A, Taos, NM, 87571-6253
person
Provider Profile Details
NPI Number
1033386420
Provider Name
Patrick Keenan Shanley
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1219 Gusdorf Rd Ste A, Taos, NM, 87571-6253
Phone Number
505-758-0009
Fax Number
505-758-8736
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1219 Gusdorf Rd Ste A
City
State
Zip
87571-6499
Phone Number
505-758-0009
Fax Number
505-758-8736
person
Provider Business Mailing Address Details
Address
1397 Weimer Rd
City
State
Zip
87571-6253
Phone Number
505-758-0009
Fax Number
505-758-8736
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA2008-0045 (New Mexico)
Definition
Definition to come...
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