DR. Michael Eric Ivory, DO

NPI #1952521874 in Gallup, New Mexico

Provider Information

NPI Number: 1952521874
Entity Type: Individual
Name: DR. Michael Eric Ivory, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Apr 26, 2007
Last Updated: Sep 27, 2012

Practice Location

Address: 516 E. NIZHONI BLVD.
City: Gallup
State: New Mexico
ZIP Code: 87301-1337
Phone: (505) 722-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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