NPI 1568992220

Gary Kanner, MD

Practitioner Emergency Medicine Physician Espanola, NM

Practice location

Address: 1010 Spruce St, Espanola, NM 87532-2724
Phone: (505) 753-7111
Mailing address: PO Box 26666 Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD2020-0828 (NM)

Other Emergency Medicine providers in New Mexico →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 4301112793 (NM)

Registry record

NPI: 1568992220
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2017
Record last updated: 14 Sep 2020

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.