| Innovation Medical Group | |
|
1900 E Historic Highway 66 Ste 1, Gallup, NM 87301-4883 | |
| (505) 324-6300 | |
| (505) 327-2218 |
| Full Name | Innovation Medical Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1900 E Historic Highway 66 Ste 1, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386304996 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Medical Group 6405 S 3000 E Ste 300, Salt Lake City, UT 84121-6977 Ph: (801) 266-3113 | Innovation Medical Group 1900 E Historic Highway 66 Ste 1, Gallup, NM 87301-4883 Ph: (505) 324-6300 |
Dr. William Brant Hesidence Ii, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 511 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Alan W Streigold, D P M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 | |
Dr. Elbert Norris, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1650 |