person
Mrs. Susan Ellen Rago, PA-C
Medical Physician Assistant in Farmington, New Mexico
NPI 1184640831

Susan Ellen Rago is a Medical Physician Assistant based in Aztec, NM and is specialized in Medical. Susan Ellen Rago practices in Farmington, NM and has the professional credentials of PA-C. The NPI Number for Susan Ellen Rago is 1184640831 and holds a License No. 94-PA33 (New Mexico).

The current practice location address for Susan Ellen Rago is 1001 W Broadway Ste D, Farmington, NM and can be reached out via phone at 505-327-4796 and via fax at 505-325-9113. You can also correspond with Susan Ellen Rago through the mailing address at PO BOX 445, AZTEC, NM - 87410-0445 (mailing address contact number: 505-327-4796).

Location: 1001 W Broadway Ste D, Farmington, NM, 87410-0445
person
Provider Profile Details
NPI Number
1184640831
Provider Name
Susan Ellen Rago
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1001 W Broadway Ste D, Farmington, NM, 87410-0445
Phone Number
505-327-4796
Fax Number
505-325-9113
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87715 05 NM
institution
Provider Business Practice Location Address Details
Address
1001 W Broadway Ste D
City
State
Zip
87401-5638
Phone Number
505-327-4796
Fax Number
505-325-9113
person
Provider Business Mailing Address Details
Address
1001 W Broadway Ste D
City
State
Zip
87401-5638
Phone Number
505-327-4796
Fax Number
505-325-9113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
94-PA33 (New Mexico)
Definition
Definition to come...
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