Individual provider · Type 1 NPI
Mariam H. Bokolishvili, S.A.
Surgical Physician Assistant · Santa Fe, NM
NPI number
1225564800
Active
Practice location
1511 W Alameda St
Santa Fe, NM 87501-1746
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant | 246ZC0007X | 15-489 |
| Surgical Physician Assistant Primary | 363AS0400X | 15-489 |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Santa Fe
About NPI 1225564800
Mariam H. Bokolishvili, S.A.'s National Provider Identifier is 1225564800, issued on May 3, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Fe, NM. The record was last updated on May 9, 2018.