Dawn R Back, PA
Dawn R Back, PA is a Physician Assistant in Santa Rosa, New Mexico. Qualified in 2003, 23 years ago. Practices with Aitkin Community Hospital Inc, a 96-clinician group and accepts Medicare assignment. Licensed in Alaska, Colorado and New Mexico.
- Years since qualifying
- 23
- Licensed in
- AK, CO, NM
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
117 Camino De Vida Ste 300Santa Rosa, NM 88435
Phone: (575) 472-4311
Fax: (575) 472-4313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2016-0044 (NM) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 2103 (AK) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA.0003777 (CO) |
Record details
| NPI number | 1841273554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | November 28, 2005 |
| Last updated in NPPES | February 8, 2017 |
| Mailing address | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Aitkin Community Hospital Inc — 96 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Santa Rosa
-
Brian T Muniz, PAC
117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 · (575) 472-4311