Individual provider · Type 1 NPI

Michael Eric Ivory, DO

General Practice Physician · Gallup, NM

NPI number 1952521874 Active

Practice location

516 E. Nizhoni Blvd.
Gallup, NM 87301-1337

Call (505) 722-1000 Map

Fax (505) 726-8740

Mailing address

4070 N Chipman St
Owosso, MI 48867-9444

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X5101007170 (MI)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

62 other providers at this address

Other general practice physician providers in Gallup

See all in Gallup →

About NPI 1952521874

Michael Eric Ivory, DO's National Provider Identifier is 1952521874, issued on Apr 26, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gallup, NM. The record was last updated on Sep 27, 2012.