Heavenly Health INC
NPI #1427118926 in Gallup, New Mexico
Provider Information
- NPI Number
- 1427118926
- Entity Type
- Organization
- Organization Name
- Heavenly Health INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Nov 8, 2011
Practice Location
- Address
- 308 EAST HILL AVENUE
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301
- Phone
- (505) 722-6770
Authorized Official
- Name
- GEORGES DUVAL, MD
- Title
- VICE PRESIDENT
- Phone
- (505) 722-6770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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