Regina Gantt, CSFA
Regina Gantt, CSFA is a Surgical Physician Assistant in Peralta, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
28 Valle Lindo RdPeralta, NM 87042
Phone: (505) 280-5326
Fax: (505) 848-5008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1396121505 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSFA |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2015 |
| Last updated in NPPES | January 13, 2016 |
| Mailing address | 28 Valle Lindo Road, Peralta, NM 87042 |
Other providers in Peralta
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Duke City Surgical Assisting LLC
28 Valle Lindo Rd, Peralta, NM 87042-8230 · (505) 280-5326