ALEXANDER THOMAS VINING

ESPANOLA, NM
NPI1578135521
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2021-0060)
Enumeration Date2021-07-10
Last Update Date2024-02-08
Business Address
ALEXANDER THOMAS VINING PA-C
1010 SPRUCE ST ENERGENCY MEDICINE - ESPANOLA
ESPANOLA, NM 87532-2746
Phone number: 505-753-7111
Mailing Address
ALEXANDER THOMAS VINING PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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