Dr Gayle Ann Harrison, MD | |
2111 College Dr, Gallup, NM 87301-5600 | |
(505) 863-1820 | |
(505) 863-1898 |
Full Name | Dr Gayle Ann Harrison |
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Gender | Female |
Speciality | Pediatrics |
Location | 2111 College Dr, Gallup, 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 |
---|---|---|---|
1285663658 | NPI | - | NPPES |
150718 | Medicaid | OR | |
858597000 | Other | OR | BLUE CROSS |
9305053253002 | Other | OR | EMPLOYER ID |
Entity Name | Rehoboth Mckinley Christian Health Care Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466 |
Mailing Address | Practice Location Address |
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Dr Gayle Ann Harrison, MD 6440 South Millrock Drive, Suite 175, Salt Lake City, UT 84121 Ph: () - | Dr Gayle Ann Harrison, MD 2111 College Dr, Gallup, NM 87301-5600 Ph: (505) 863-1820 |
Dr. Carlos Manuel De Sanctis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Ramona V. Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Dr. John Edward Ratmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Michelle Stam-maclaren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820 | |
Janet M Li-tempest, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Gary A Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1397 |