Surgery Management Group LLC

NPI #1871192377 in Gallup, New Mexico

Provider Information

NPI Number: 1871192377
Entity Type: Organization
Organization Name: Surgery Management Group LLC
Primary Specialty: Surgery
Enumeration Date: Oct 26, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 1808 E AZTEC AVE STE 2
City: Gallup
State: New Mexico
ZIP Code: 87301-4946
Phone: (469) 235-5588

Authorized Official

Name: TERRENCE JOHNSON
Title: OWNER
Phone: (469) 235-5588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Surgery	208600000X	Primary

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