Individual
MELINDA J MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
MSC06 3870 I UNIVERSITY OF NEW MEXICO, UMN STUDENT HEALTH CENTER, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-5668
Mailing address
MSC06 3870 I UNIV OF NM, UMN STUDENT HEALTH CENTER, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-5668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
79PA006
NM
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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