Most Relevant Information
Provider Data
| NPI Number: | 1003062738 |
| Provider Name: | AUDRA DAWN CLEMENS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA2008-0015 |
Most Important Dates
| Enumeration Date: | 08/13/2008 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
303 ROMA AVE NW
ALBUQUERQUE
NM
871022251
Practice Location Phone/Fax
| Phone: | 5052623542 |
| Fax: |
Provider Mailing Location
PO BOX 26028
ALBUQUERQUE
NM
871256028
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |