JOSEPH SALVATORE BALSAMO

EL RITO, NM
NPI1063541795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  NMPA75001)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
Mr. JOSEPH SALVATORE BALSAMO PAC
STATE RD 571 LAS CLINICAS DEL NONTE BLDG #28
EL RITO, NM 87530
Phone number: 505-581-4728
Mailing Address
Mr. JOSEPH SALVATORE BALSAMO PAC
BX 993
RANCHOS DE TAOS, NM 87521
Phone number: 505-758-0137