Garcia, Sandra Marie
Garcia, Sandra Marie is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Garcia, Sandra Marie can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | DM106336 | Puerto Rico |
Profile Details
| NPI number | 1811957913 |
|---|---|
| LBN Legal business name | Garcia, Sandra Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Feb 28th, 2012 - about 12 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 | 1811957913 | NPPES |
| Arizona | MEDICAID | 417304 | |
| Arizona | MEDICAID | 000R7885 |
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