NPI 1508469156
App of New Mexico Ed PLLC
Practice location
- Address
- 1901 Red Rock Dr, Gallup, NM 87301-5683
- Phone
- (505) 863-7200
- Mailing address
- 5121 Maryland Way STE 300, Brentwood, TN 37027-7516
Authorised official
- Name
- James Grimes
- Title
- Cfo
- Phone
- (855) 246-8607
Registered specialties
Emergency Medicine Physician
Primary
Registry record
- NPI
- 1508469156
- Entity type
- Organization
- NPI issued
- 17 Nov 2020
- Record last updated
- 27 Jan 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.