Dr Michael Eric Ivory, DO | |
516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | |
(505) 722-1000 | |
(505) 726-8740 |
Full Name | Dr Michael Eric Ivory |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 516 E. Nizhoni Blvd., Gallup, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952521874 | NPI | - | NPPES |
30010400 | Medicaid | WI | |
4709700 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 5101007170 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Eric Ivory, DO 4070 N Chipman St, Owosso, MI 48867-9444 Ph: (989) 723-5236 | Dr Michael Eric Ivory, DO 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 Ph: (505) 722-1000 |
Dr. Cleora Shunkamolah, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Paula Renee Mora, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1482 Fax: 505-722-1629 | |
Dr. Catherine Marie Radovich, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup Indian Medical Center, Gallup, NM 87301 Phone: 505-722-1000 | |
Dr. Jeffrey Joseph Hawker, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 540-224-1933 |