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Teicha Wilson, MD
Neonatal-Perinatal Medicine Physician in Gallup, New Mexico
NPI 1306818125

Teicha Wilson is a Neonatal-Perinatal Medicine Physician based in Gallup, NM and is specialized in Neonatal-Perinatal Medicine. Teicha Wilson practices in Gallup, NM and has the professional credentials of MD. The NPI Number for Teicha Wilson is 1306818125 and holds a License No. MD2004-0819 (New Mexico).

The current practice location address for Teicha Wilson is 2111 College Dr, Gallup, NM and can be reached out via phone at 505-863-1820.

Location: 2111 College Dr, Gallup, NM, 87301-5683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306818125
Provider Name
Teicha Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2111 College Dr, Gallup, NM, 87301-5683
Phone Number
505-863-1820
Fax Number
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
953126 05 AZ
NM009W12 01 NM BCBS
QMYPR0068268 01 MOLINA
202000082 01 NM PRESBYTERIAN HEALTH/SALUD
10019728 01 NM LOVELACE HEALTH/SALUD
42378516 05 NM
institution
Provider Business Practice Location Address Details
Address
2111 College Dr
City
Gallup
State
New Mexico
Zip
87301-5600
Phone Number
505-863-1820
Fax Number
person
Provider Business Mailing Address Details
Address
2111 College Dr
City
Gallup
State
New Mexico
Zip
87301-5600
Phone Number
505-863-1820
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD60027915 (Washington)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
MD2004-0819 (New Mexico)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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