Individual
MR. JOSEPH SALVATORE BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
STATE RD 571, LAS CLINICAS DEL NONTE BLDG #28, EL RITO, NM 87530
(505) 581-4728
(505) 581-4789
Mailing address
BX 993, RANCHOS DE TAOS, NM 87521
(505) 758-0137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NMPA75001
NM
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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