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Individual

ISAAC DAVID SAUCEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(575) 388-3373
Mailing address
1600 E 32ND ST, SILVER CITY, NM 88061-7287
(575) 538-2981
(575) 388-3373

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2006 0053
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10425250
NM
Enumeration date
11/20/2006
Last updated
01/08/2013
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