Individual
DR. AMY PABST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 666 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36101725
IL
207Q00000X
Family Medicine Physician
43048
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
05
—
PENDING
—
CO
05
—
PENDING
—
NM
Enumeration date
08/23/2006
Last updated
08/22/2007
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