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1551 S Second St Gallup NM 87301-5881 | |
(505) 542-0090 | |
(505) 542-0155 |
Full Name | |
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Speciality | Surgery |
Location | 1551 S Second St, Gallup, New Mexico |
Authorized Official Name and Position | David Nye (OWNER) |
Authorized Official Contact | 4803637778 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2487 S Gilbert Rd Ste 106-431 Gilbert AZ 85295-2825 Ph: (480) 363-7778 | 1551 S Second St Gallup NM 87301-5881 Ph: (505) 542-0090 |
NPI Number | 1508574724 |
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Provider Enumeration Date | 11/07/2022 |
Last Update Date | 10/21/2024 |
Medicare PECOS PAC ID | 5991177016 |
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Medicare Enrollment ID | O20230217000775 |
Identifier | Type | State | Issuer |
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1508574724 | NPI | - | NPPES |
Provider Name | David James Nye |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1558623793 PECOS PAC ID: 6800030024 Enrollment ID: I20220926002521 |
Provider Name | Claudia Macias |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508496167 PECOS PAC ID: 3577992916 Enrollment ID: I20230320000226 |
Provider Name | Jennifer E Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326313222 PECOS PAC ID: 6800059759 Enrollment ID: I20230321001566 |
Provider Name | Joseph L Eliason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043977721 PECOS PAC ID: 9638535529 Enrollment ID: I20230518002943 |
Provider Name | Scott Doherty |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1730108093 PECOS PAC ID: 5991833865 Enrollment ID: I20241210001384 |
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 | |