Individual
MS. KAREN BLOSSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 MARTIN LUTHER KING AVE NE, ALBUQUERQUE, NM 87106-4713
(505) 272-2530
(505) 925-7849
Mailing address
933 BRADBURY DR SE, 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3271
AZ
363A00000X
Physician Assistant
Primary
PA2013-0050
NM
Other
Enumeration date
08/05/2008
Last updated
08/21/2014
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