Individual provider · Type 1 NPI
Melanie Gantner, PA
Medical Physician Assistant · Las Cruces, NM
NPI number
1912952003
Active
Practice location
540 Walton Blvd, Ste C
Las Cruces, NM 88001-8433
Fax (575) 524-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA2004-0012 (NM) |
Medical Physician Assistant: Definition to come...
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About NPI 1912952003
Melanie Gantner, PA's National Provider Identifier is 1912952003, issued on May 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 5, 2016.