AUSTIN LORGAN TARANTELLO

ALBUQUERQUE, NM
NPI1780342907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2023-0234)
Enumeration Date2021-12-05
Last Update Date2023-12-27
Business Address
AUSTIN LORGAN TARANTELLO PA-C
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107-7002
Phone number: 505-266-5565
Mailing Address
AUSTIN LORGAN TARANTELLO PA-C
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107-7002
Phone number: 505-266-5565
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