| Doctor Name: | MR. PATRICK NORMAN VIGIL |
| NPI Number: | 1639399967 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MT (AAB) |
| License Number: | |
| Business Practice Address: | 318 Abalone Loop Rd Mescalero, NM - 88340 |
| Business Phone Number: | 5054644441 |
| Business Fax Number: | 5054644422 |
| Mailing Address: | Po Box 523, LA LUZ |
| State: | NM |
| Postal Code: | 883370523 |
| Phone Number: | 5054341780 |
| Fax Number: | 5054341780 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QM0706X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Medical Technologist |
| Taxonomy Definition: | |