Individual
MR. FERNANDO A VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10511 GOLF COURSE RD NW STE 201, ALBUQUERQUE, NM 87114-5917
(505) 232-1180
Mailing address
10511 GOLF COURSE RD NW STE 201, ALBUQUERQUE, NM 87114-5917
(505) 750-2876
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2010-0026
NM
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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