person
Regina Gantt, CSFA
Surgical Physician Assistant in Peralta, New Mexico
NPI 1396121505

Regina Gantt is a Surgical Physician Assistant based in Peralta, NM and is specialized in Surgical. Regina Gantt practices in Peralta, NM and has the professional credentials of CSFA. The NPI Number for Regina Gantt is 1396121505 and holds a License No. (New Mexico).

The current practice location address for Regina Gantt is 28 Valle Lindo Road, Peralta, NM and can be reached out via phone at 505-280-5326 and via fax at 505-848-5008.

Location: 28 Valle Lindo Road, Peralta, NM, 87042
person
Provider Profile Details
NPI Number
1396121505
Provider Name
Regina Gantt
Credential
CSFA
Provider Entity Type
Individual
Gender
Female
Address
28 Valle Lindo Road, Peralta, NM, 87042
Phone Number
505-280-5326
Fax Number
505-848-5008
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
28 Valle Lindo Road
City
State
Zip
87042
Phone Number
505-280-5326
Fax Number
505-848-5008
person
Provider Business Mailing Address Details
Address
28 Valle Lindo Road
City
State
Zip
87042
Phone Number
505-280-5326
Fax Number
505-848-5008
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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