Individual provider · Type 1 NPI

Gary John Teare, PAC

Medical Physician Assistant · Farmington, NM

NPI number 1306942792 Active

Practice location

3451 N Butler Ave
Farmington, NM 87401

Fax (505) 566-1918

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X98-PA13 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1306942792

Gary John Teare, PAC's National Provider Identifier is 1306942792, issued on Sep 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Farmington, NM. The record was last updated on Dec 12, 2007.