person
Mr. Cody W Lewis, PA-C
Medical Physician Assistant in Farmington, New Mexico
NPI 1972859403

Cody W Lewis is a Medical Physician Assistant based in Farmington, NM and is specialized in Medical. Cody W Lewis practices in Farmington, NM and has the professional credentials of PA-C. The NPI Number for Cody W Lewis is 1972859403 and holds a License No. PA60796883 (New Mexico).

The current practice location address for Cody W Lewis is 2300 E 30Th St Bldg D Ste 101, Farmington, NM and can be reached out via phone at 505-327-1400 and via fax at 505-564-3202.

Location: 2300 E 30Th St Bldg D Ste 101, Farmington, NM, 87401
person
Provider Profile Details
NPI Number
1972859403
Provider Name
Cody W Lewis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2300 E 30Th St Bldg D Ste 101, Farmington, NM, 87401
Phone Number
505-327-1400
Fax Number
505-564-3202
Provider Enumeration Date
08/02/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
58372539 05 NM
institution
Provider Business Practice Location Address Details
Address
2300 E 30Th St Bldg D Ste 101
City
State
Zip
87401
Phone Number
505-327-1400
Fax Number
505-564-3202
person
Provider Business Mailing Address Details
Address
2300 E 30Th St Bldg D Ste 101
City
State
Zip
87401
Phone Number
505-327-1400
Fax Number
505-564-3202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60796883 (Washington)
Definition
Definition to come...
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