WESLEY GILMORE

LAS CRUCES, NM
NPI1144603234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2015-0037)
Additional Taxonomies363AM0700X Physician Assistant Medical
(Licence: NM  PA2015-0037)
Enumeration Date2015-07-07
Last Update Date2018-11-29
Business Address
WESLEY GILMORE PA-C
3530 FOOTHILLS RD
LAS CRUCES, NM 88011-3626
Phone number: 575-532-6054
Mailing Address
WESLEY GILMORE PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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