Individual provider · Type 1 NPI
Cleora Shunkamolah, MD
General Practice Physician · Gallup, NM
NPI number
1073581583
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 89-303 (NM) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1073581583
Cleora Shunkamolah, MD's National Provider Identifier is 1073581583, issued on Mar 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gallup, NM. The record was last updated on Dec 29, 2016.