Physician Management Services Of New Mexico, Llc | |
517 E Nizhoni Blvd Gallup NM 87301-5757 | |
(888) 829-8550 | |
Not Available |
Full Name | Physician Management Services Of New Mexico, Llc |
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Speciality | Family Medicine |
Location | 517 E Nizhoni Blvd, Gallup, New Mexico |
Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
Authorized Official Contact | 8888298550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician Management Services Of New Mexico, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 829-8550 | Physician Management Services Of New Mexico, Llc 517 E Nizhoni Blvd Gallup NM 87301-5757 Ph: (888) 829-8550 |
NPI Number | 1528716735 |
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Provider Enumeration Date | 03/16/2022 |
Last Update Date | 03/16/2022 |
Medicare PECOS PAC ID | 2466833033 |
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Medicare Enrollment ID | O20220809002801 |
Identifier | Type | State | Issuer |
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1528716735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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