REGINA GANTT, CSFA
Physician Assistant - Surgical
Active
Individual
NPI: 1396121505
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | - |
Frequently Asked Questions
NPI 1396121505 is the National Provider Identifier for REGINA GANTT, CSFA, a Physician Assistant - Surgical provider located in Peralta, NM. This NPI was enumerated on August 11, 2015.
REGINA GANTT, CSFA practices at 28 VALLE LINDO ROAD, Peralta, NM 87042.
Quick Facts
- NPI
- 1396121505
- Type
- Individual
- Enumerated
- Aug 11, 2015
- Last Updated
- Jan 13, 2016
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