Dawn R Back is a Physician Assistant in Santa Rosa, New Mexico. Dawn R Back practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dawn R Back is 1841273554. The last update date is 2017-02-08.
Dawn R Back's current location address is 117 Camino De Vida, Santa Rosa, New Mexico. You can contact this provider via phone number 5754724311 and fax number 5754724313. The mailing address for Dawn R Back is 117 Camino De Vida, Santa Rosa, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dawn R Back |
|---|---|
| Address | 117 Camino De Vida, Santa Rosa, New Mexico |
| Phone Number | 5754724311 |
| Fax Number | 5754724313 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1841273554 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2017-02-08 |
Provider Mailing Address Detail
| Address | 117 Camino De Vida |
|---|---|
| City | Santa Rosa |
| State | New Mexico (NM) |
| Post Code | 88435 |
| Phone Number | 5754724311 |
| Fax Number | 5754724313 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA2016-0044 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54452015 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Dawn R Back by the Centers for Medicare & Medicaid Services?
The Dawn R Back has been assigned the NPI (National Provider Identifier) 1841273554 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Dawn R Back is physically located?
The Dawn R Back is situated at the following address: 117 Camino De Vida, Santa Rosa, NM 88435.
What is Dawn R Back's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dawn R Back is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1841273554 assigned to Dawn R Back?
The Dawn R Back was issued its 1841273554 on 2005-11-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dawn R Back, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dawn R Back, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-02-08.