Escudero, Gary A
Escudero, Gary A is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd Box 1337, Gallup NM 87301-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Escudero, Gary A can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E. Nizhoni Blvd Box 1337
Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 84-176 | New Mexico |
Profile Details
| NPI number | 1205867603 |
|---|---|
| LBN Legal business name | Escudero, Gary A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 11th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205867603 | NPPES |
| New Mexico | MEDICAID | 000R6724 | |
| New Mexico | MEDICAID | 414582 |
Popular Providers
-
Stam-Maclaren, Michelle
2111 College Drive Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301 -
Anderson, Ramona V.
516 East Nizhoni Blvd. , Gallup NM 87301-1337 -
Otsuka, Mayumi
516 East Nizhoni Blvd , Gallup NM 87301-1337 -
Mair, Gillian Electa
516 Nizhoni Blvd , Gallup NM 87301-5748 -
Li-Tempest, Janet M
516 Nizhoni Blvd , Gallup NM 87301-5748 -
Ratmeyer, John Edward
516 Nizhoni Blvd , Gallup NM 87301-5748 -
Peters, Nicolas Lee
2111 College Dr , Gallup NM 87301-5600 -
Greenholz, Janet
516 Nizhoni Blvd , Gallup NM 87301-5748