GARRETT KORDSIEMON

ALBUQUERQUE, NM
NPI1114654027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  9374356-1206)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-08-02
Last Update Date2024-06-19
Business Address
GARRETT KORDSIEMON
1500 N RENAISSANCE BLVD NE
ALBUQUERQUE, NM 87107-7002
Phone number: 505-266-5565
Mailing Address
GARRETT KORDSIEMON
15229 S TACK WAY
BLUFFDALE, UT 84065-1798
Phone number: 801-503-6302