Individual
REBEKAH D CARLOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
402 W. COUNTRY CLUB RD, ROSWELL, NM 88201
(575) 627-9500
(575) 627-4127
Mailing address
P.O. BOX 1574, ROSWELL, NM 88201
(575) 627-9500
(575) 627-4127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2005-0060
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31538568
—
NM
Enumeration date
11/06/2006
Last updated
03/26/2009
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