Individual
GILLIAN BUDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108
(505) 262-7174
(505) 262-3562
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2001PA19
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60471387
—
NM
Enumeration date
07/08/2006
Last updated
07/08/2007
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