Individual
JOSEPHINE M ROBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1721 RIO RANCHO DR SE, RIO RANCHO, NM 87124-1570
(505) 896-8600
(505) 896-8618
Mailing address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7960
(505) 232-1368
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
93-PA11
NM
Other
Enumeration date
07/26/2006
Last updated
07/10/2015
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