| Brian Dale Elza, PT | |
|
516 Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1000 | |
| (505) 722-1310 |
| Full Name | Brian Dale Elza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 516 Nizhoni Blvd, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548238801 | NPI | - | NPPES |
| 762189 | Medicaid | AZ | |
| 77003888 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 20290 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Dale Elza, PT Po Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Brian Dale Elza, PT 516 Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Shantel Blume, DPT, CLT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Nancy Canto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1800 Fax: 505-721-1899 | |
Christine Sanchez, Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Natasha Hite, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 W Maloney Ave, Gallup, NM 87301 Phone: 505-488-2615 | |
Maya Rose Bernadett-peters, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Mrs. Liberty Javenia Ang, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 E Aztec Ave, Gallup, NM 87301 Phone: 505-721-1839 | |
Lynn Torres, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Boardman Dr, Gallup, NM 87301 Phone: 505-722-9188 Fax: 505-926-0910 |