Individual provider · Type 1 NPI

Theodore B. Gellert, PA-C

Surgical Physician Assistant · Albuquerque, NM

NPI number 1689852196 Active

Practice location

2211 Lomas Blvd NE, MSC10-5610 2-ACC
Albuquerque, NM 87106-2745

Call (505) 272-6901 Map

Mailing address

800 Salamanca St NW
Los Ranchos De Albuquerque, NM 87107-5620

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2007-0036 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1689852196

Theodore B. Gellert, PA-C's National Provider Identifier is 1689852196, issued on Feb 6, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 14, 2023.