| Gypsum Medical Associates Of New Mexico, Pc | |
|
Building 9200, Area Y, Kirtland Air Force Base-east Albuquerque NM 87115 | |
| (224) 238-0170 | |
| Not Available |
| Full Name | Gypsum Medical Associates Of New Mexico, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | Building 9200, Area Y, Kirtland Air Force Base-east, Albuquerque, New Mexico |
| Authorized Official Name and Position | George Daniel Mingea (OWNER, PHYSICIAN) |
| Authorized Official Contact | 9724295809 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gypsum Medical Associates Of New Mexico, Pc 4805 Prime Pkwy Mchenry IL 60050-7002 Ph: (815) 363-9500 | Gypsum Medical Associates Of New Mexico, Pc Building 9200, Area Y, Kirtland Air Force Base-east Albuquerque NM 87115 Ph: (224) 238-0170 |
| NPI Number | 1477986065 |
|---|---|
| Provider Enumeration Date | 08/19/2013 |
| Last Update Date | 08/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477986065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2011-0778 (New Mexico) | Primary |
| 208000000X | Pediatrics | MD2011-0778 (New Mexico) | Secondary |
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