Individual
IRIS DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2530 S TELSHOR BLVD, SUITE 103, LAS CRUCES, NM 88011-4951
(575) 556-6400
(575) 556-6405
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
(575) 556-1898
(575) 556-5959
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2016-0065
NM
363AS0400X
Surgical Physician Assistant
PA3110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291597900
—
FL
Enumeration date
04/13/2006
Last updated
10/26/2016
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