Individual
DOMINIC MATTHEW GUERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 BECKNER RD, SANTA FE, NM 87507-3774
(505) 477-2200
Mailing address
440 SAINT MICHAELS DR, SANTA FE, NM 87505-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2016-0075
NM
Other
Enumeration date
10/11/2016
Last updated
05/29/2025
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