Individual
CRISTINA ALLCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 414-2293
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2016-0051
NM
Other
Enumeration date
06/26/2015
Last updated
11/03/2021
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