NPI 1386322071

New Mexico Emergency Physicians Group Management LLC

Organisation Emergency Medicine Physician Gallup, NM

Practice location

Address: 1901 Red Rock Dr, Gallup, NM 87301-5683
Phone: (505) 863-7000
Mailing address: 4932 Sunbeam Rd, Jacksonville, FL 32257-6128

Authorised official

Name: Thomas G Douglass
Title: Ceo
Phone: (361) 729-0646

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in New Mexico →

Registry record

NPI: 1386322071
Entity type: Organization
NPI issued: 11 Jul 2023
Record last updated: 11 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.