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
- State
- New Mexico
- 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 - Dental — Dental |
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