NPI 1205867603

Gary a Escudero, MD

Practitioner Pediatrics Physician Gallup, NM

Practice location

Address: 516 E. Nizhoni Blvd Box 1337, Gallup, NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1397

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 84-176 (NM)

Other Pediatrics providers in New Mexico →

Registry record

NPI: 1205867603
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 11 Apr 2008

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.