# SIORDIA SURGICAL ASSISTING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346964178
- **Authorized official:** MRS. CORINA SIORDIA SA-C (SURGICAL ASSISTANT CERTIFIED)
- **Authorized official phone:** (505) 304-5165

## Contact information

- **Practice address:** 2319 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-2949
- **Practice address phone:** (505) 304-5165
- **Mailing address:** 2319 VISTA DE COLINAS DR SE, RIO RANCHO, NM 87124-2949
- **Mailing address phone:** (505) 304-5165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2022
- **Last updated:** 09/29/2022
