Gretta Carroll, MD | |
280 1st St, Holloman Afb, NM 88330-8273 | |
(575) 572-7091 | |
Not Available |
Full Name | Gretta Carroll |
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Gender | Female |
Speciality | Family Medicine |
Location | 280 1st St, Holloman Afb, 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 |
---|---|---|---|
1619358900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29856 (Nebraska) | Primary |
Entity Name | Ssm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
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Gretta Carroll, MD 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-7091 | Gretta Carroll, MD 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-7091 |
George L Garcia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-7091 Fax: 575-572-2259 | |
Erin Kathleen O'pry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 49th Medical Group, 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-2778 | |
Dr. Dorie Elaine Pitzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 49 Mdg, 280 First Str, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-0989 |