Individual provider · Type 1 NPI

Jorge L. Gallardo, MD STUDENT

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1770367807 Active

Practice location

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719

Mailing address

MCO8 4700 1 University Of New Mexico
Albuquerque, NM 87131-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770367807

Jorge L. Gallardo, MD STUDENT's National Provider Identifier is 1770367807, issued on Aug 21, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Aug 21, 2023.