MARIAM BOKOLISHVILI, S.A.

Physician Assistant - Surgical

Active Individual
NPI: 1225564800

Practice Address

1511 W ALAMEDA ST
Santa Fe, NM 87501

Phone: (505) 459-3988

Specialties

Specialty Code Primary License
Specialist/Technologist, Other - Surgical Assistant 246ZC0007X No 15-489 ()
Physician Assistant - Surgical 363AS0400X Yes 15-489 ()

Frequently Asked Questions

NPI 1225564800 is the National Provider Identifier for MARIAM BOKOLISHVILI, S.A., a Physician Assistant - Surgical provider located in Santa Fe, NM. This NPI was enumerated on May 3, 2017.
MARIAM BOKOLISHVILI, S.A. practices at 1511 W ALAMEDA ST, Santa Fe, NM 87501.

Quick Facts

NPI
1225564800
Type
Individual
Enumerated
May 3, 2017
Last Updated
May 9, 2018

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