Individual
VALDA L VIGIL-ST ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5901 HARPER DRIVE NE, PMG URGENT CARE, ALBUQUERQUE, NM 87109
(505) 823-8519
(505) 823-8355
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
94-PA04
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S8746
—
NM
Enumeration date
08/30/2006
Last updated
05/15/2024
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