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1211 E Aztec Ave Gallup NM 87301-4901 | |
(505) 870-9647 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1211 E Aztec Ave, Gallup, New Mexico |
Authorized Official Name and Position | Flor Jarasa Caballar Gonzaga (ORGANIZER/MEMBER) |
Authorized Official Contact | 5058709647 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1070 Rancho Rd Gallup NM 87301-7036 Ph: (505) 870-9647 | 1211 E Aztec Ave Gallup NM 87301-4901 Ph: (505) 870-9647 |
NPI Number | 1528359148 |
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Provider Enumeration Date | 04/29/2011 |
Last Update Date | 10/28/2011 |
Identifier | Type | State | Issuer |
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1528359148 | NPI | - | NPPES |
Gallup Quick Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Highway 66, Gallup, NM 87301 Phone: 505-722-9334 Fax: 505-722-9352 | |
Legacy Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 | |