| Brian R Ingram, PA | |
|
1851 Old Hwy 66, Edgewood, NM 87015 | |
| (505) 286-2396 | |
| (505) 286-2398 |
| Full Name | Brian R Ingram |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1851 Old Hwy 66, Edgewood, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700368495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2018-0050 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian R Ingram, PA 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 Ph: (505) 281-5180 | Brian R Ingram, PA 1851 Old Hwy 66, Edgewood, NM 87015 Ph: (505) 286-2396 |
Gerry Situ, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1851 Old Us 66, Edgewood, NM 87015 Phone: 505-286-2396 Fax: 505-286-2398 | |
Ryan Grange, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 Phone: 505-286-2396 Fax: 505-286-2398 | |
Lisa Rachelle Torres, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Medical Center Rd, Edgewood, NM 87015 Phone: 505-281-3406 | |
Joshua Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1851 Old Us 66, Edgewood, NM 87015 Phone: 505-286-2396 |