Individual provider · Type 1 NPI

Autumn Marie Gonzales

Medical Physician Assistant · Los Alamos, NM

NPI number 1073275756 Active

Practice location

3917 West Rd Ste A
Los Alamos, NM 87544-2292

Call (505) 661-8900 Map

Other practice locations

  • 1500 N Renaissance Blvd NE Ste C, Albuquerque, NM 87107-7002 · (505) 266-5565

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA2023-0240 (NM)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1073275756

Autumn Marie Gonzales's National Provider Identifier is 1073275756, issued on Oct 9, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Alamos, NM. The record was last updated on Aug 9, 2023.