Individual
PATRICK M. DALESSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 726-8671
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 726-8671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004407
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004407
WA
363AS0400X
Surgical Physician Assistant
PA10004407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197285
L&I PIN
WA
01
—
06173U
REGENCE BLUE SHIELD PIN
WA
05
—
8354375
—
WA
Enumeration date
08/01/2006
Last updated
07/18/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us