Physician Management Services of New Mexico, LLC
NPI #1528716735 in Gallup, New Mexico
Provider Information
- NPI Number
- 1528716735
- Entity Type
- Organization
- Organization Name
- Physician Management Services of New Mexico, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- VAXCARE CORPORATION
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 16, 2022
- Last Updated
- Mar 16, 2022
Practice Location
- Address
- 517 E NIZHONI BLVD
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-5757
- Phone
- (888) 829-8550
Authorized Official
- Name
- BRETT KENEFICK
- Title
- PRESIDENT
- Phone
- (888) 829-8550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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