Organization · Type 2 NPI

Endovascular

Surgery Physician · Gallup, NM

NPI number 1972221182 Active

Practice location

2240 College Dr
Gallup, NM 87301-7003

Fax (505) 297-1227

Mailing address

202 E Earll Dr Ste 360
Phoenix, AZ 85012-2677

Specialties and licenses

TaxonomyCodeLicense
Obesity Medicine (Family Medicine) Physician 207QB0002XNone listed
Surgery Physician Primary 208600000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1972221182

Endovascular's National Provider Identifier is 1972221182, issued on Aug 15, 2022. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Gallup, NM. The record was last updated on Sep 8, 2022.