Whalio Doctors

NPI 1003248931

Tia M Roes, PAC

Practitioner Physician Assistant Los Lunas, NM

Practice location

Address
145 Don Pasqual NW, Los Lunas, NM 87031
Phone
(505) 865-4618
Fax
(505) 224-8727
Mailing address
116 Arroyo Dr, Socorro, NM 87801-4403

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI
1003248931
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Aug 2013
Record last updated
2 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.