Gayle Chacon
NPI #1427064179 in Bernalillo, New Mexico
Provider Information
- NPI Number
- 1427064179
- Entity Type
- Individual
- Name
- Gayle Chacon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Mar 22, 2017
Practice Location
- Address
- 481 SANDIA LOOP
- Address 2
- SANDIA PUEBLO CLINIC
- City
- Bernalillo
- State
- New Mexico
- ZIP Code
- 87004-7076
- Phone
- (505) 867-4487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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