Individual provider · Type 1 NPI
Brian R. Ingram, PA
Physician Assistant · Edgewood, NM
Practice location
1851 Old Hwy 66
Edgewood, NM 87015
Fax (505) 286-2398
Mailing address
12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2018-0050 (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…
2 other providers at this address
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About NPI 1700368495
Brian R. Ingram, PA's National Provider Identifier is 1700368495, issued on Aug 30, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edgewood, NM. The record was last updated on Aug 30, 2018.