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Dr. Paula Renee Mora, MD
General Practice Physician in Gallup, New Mexico
NPI 1316915051

Paula Renee Mora is a General Practice Physician based in Gallup, NM. Paula Renee Mora practices in Gallup, NM and has the professional credentials of MD. The NPI Number for Paula Renee Mora is 1316915051 and holds a License No. 29216 (New Mexico).

The current practice location address for Paula Renee Mora is 516 E Nizhoni Blvd, Gallup, NM and can be reached out via phone at 505-722-1482 and via fax at 505-722-1629.

Location: 516 E Nizhoni Blvd, Gallup, NM, 87301-5748
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Provider Profile Details
NPI Number
1316915051
Provider Name
Paula Renee Mora
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
516 E Nizhoni Blvd, Gallup, NM, 87301-5748
Phone Number
505-722-1482
Fax Number
505-722-1629
Provider Enumeration Date
03/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21657025 05 NM
769614 01 NM AHCCCS
institution
Provider Business Practice Location Address Details
Address
516 E Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1482
Fax Number
505-722-1629
person
Provider Business Mailing Address Details
Address
516 E Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1482
Fax Number
505-722-1629
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
29216 (Arizona)
Definition
Definition to come...
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