Endovascular
NPI #1972221182 in Gallup, New Mexico
Provider Information
- NPI Number
- 1972221182
- Entity Type
- Organization
- Organization Name
- Endovascular
- Primary Specialty
- Surgery
- Enumeration Date
- Aug 15, 2022
- Last Updated
- Sep 8, 2022
Practice Location
- Address
- 2240 COLLEGE DR
- City
- Gallup
- State
- New Mexico
- ZIP Code
- 87301-7003
- Phone
- (505) 297-1052
Authorized Official
- Name
- KIUP ALEXANDER KIM, MD
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (480) 584-2369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Obesity Medicine — Obesity Medicine |
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
| Surgery |
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