Individual provider · Type 1 NPI

Michelle Certik, PA-C

Medical Physician Assistant · Los Alamos, NM

NPI number 1124512207 Active

Practice location

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

Fax (505) 661-8916

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2018-0034 (NM)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1124512207

Michelle Certik, PA-C's National Provider Identifier is 1124512207, issued on Jun 21, 2018. 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 Jun 21, 2018.