NPI 1063042125

Sydney Rose George, PAC

Practitioner Physician Assistant Rio Rancho, NM

Practice location

Address: 2400 Unser Blvd SE STE 18200, Rio Rancho, NM 87124-4740
Phone: (505) 563-6565
Mailing address: PO Box 26666 Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2021-0057 (NM)

Other Physician Assistant providers in New Mexico →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2021-0057 (NM)

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA2021-0057 (NM)

Registry record

NPI: 1063042125
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2020
Record last updated: 4 Jan 2024

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.