Individual
MS. VICKI LYNN SONTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1650
Mailing address
7788 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4342
(505) 999-1600
(505) 999-1650
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
91-PA01
NM
Other
Enumeration date
09/25/2006
Last updated
12/27/2012
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