Individual
MR. MITCHELL CONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1640 OLD PECOS TRAIL, SUITE H, HEALTH FRONT, PC, SANTA FE, NM 87505
(505) 992-0233
Mailing address
7247 WILD OLIVE AVE NE, ALBUQUERQUE, NM 87113-2077
(505) 797-0501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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