Individual provider · Type 1 NPI

Mary Louise Bodewes, PAC

Physician Assistant · Farmington, NM

NPI number 1659476398 Active

Practice location

630 W Maple St
Farmington, NM 87401-6113

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Other practice locations

  • 1485 Florida Rd Ste 103A, Durango, CO 81301-6873 · (970) 444-0260
  • 2727 Plaza Drive, Wausau, WI 54401 · (715) 358-1184

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X988 (WI)
Physician Assistant 363A00000XPA.005343 (CO)
Physician Assistant Primary 363A00000XPA2021-0130 (NM)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

15 other providers at this address

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About NPI 1659476398

Mary Louise Bodewes, PAC's National Provider Identifier is 1659476398, issued on Sep 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Farmington, NM. The record was last updated on Nov 8, 2024.