Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAWN R BACK, PA
ActivePhysician Assistant · SANTA ROSA, NM
Registration Details
- NPI Number
- 1841273554
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2005 (20.395135940049 yrs)
- Last Updated
- Feb 8, 2017
- Licenses
-
PA2016-0044 (NM)2103 (AK)PA.0003777 (CO)
Practice Information
- Address
-
117 CAMINO DE VIDASUITE 300SANTA ROSA, NM, 88435Browse NM providers · Browse ZIP 88435
- Phone
- 5754724311
- Fax
- 5754724313
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SANTA ROSA, NM
| Name | Credential | NPI |
|---|---|---|
| BRIAN T MUNIZ | PAC | 1447760368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.