Individual provider · Type 1 NPI

Peter R. Crotta, PA-C

Surgical Physician Assistant · Albuquerque, NM

NPI number 1891773818 Active

Practice location

201 Cedar St SE, Suite 6600
Albuquerque, NM 87106-4917

Fax (505) 724-4384

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X91-165 (NM)
Surgical Physician Assistant Primary 363AS0400X84-PA002 (NM)

Surgical Physician Assistant: Definition to come...

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About NPI 1891773818

Peter R. Crotta, PA-C's National Provider Identifier is 1891773818, issued on Jan 9, 2006. 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 15, 2013.