Individual
MR. JOSEPH M KOBLISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC06 3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Mailing address
1 UNIVERSITY OF NEW MEXICO, MSC06 3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2002-0006
NM
363AM0700X
Medical Physician Assistant
PA2002-0006
NM
Other
Enumeration date
04/10/2006
Last updated
06/22/2016
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