Gallup Indian Medical Center

NPI #1740452697 in Gallup, New Mexico

Provider Information

NPI Number
1740452697
Entity Type
Organization
Organization Name
Gallup Indian Medical Center
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 1, 2008
Last Updated
Feb 12, 2025

Practice Location

Address
516 NIZHONI BLVD
City
Gallup
ZIP Code
87301-5748
Phone
(505) 722-1000

Authorized Official

Name
PAMELA DETSOI-SMILEY, CEO
Title
CHIEF EXECUTIVE OFFICER
Phone
(505) 722-1000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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