NPI 1124450317

Alexander Miles Jenson

Practitioner Emergency Medicine Physician Gallup, NM

Practice location

Address: 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Phone: (781) 301-1077
Mailing address: 1103 Boggio Dr, Gallup, NM 87301-4906

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence D86397 (MD)

Other Emergency Medicine providers in New Mexico →

Registry record

NPI: 1124450317
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jul 2013
Record last updated: 12 May 2021

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.