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Gutierrez Medical Group Pa
Specialist in Grants, New Mexico
NPI 1356314504

Gutierrez Medical Group Pa is a Specialist based in Grants, NM. Gutierrez Medical Group Pa practices in Grants, NM. The NPI Number for Gutierrez Medical Group Pa is 1356314504 and holds a License No. (New Mexico).

The current practice location address for Gutierrez Medical Group Pa is 1010 E Roosevelt Ave, Grants, NM and can be reached out via phone at 505-287-2948 and via fax at 505-287-5372.

Location: 1010 E Roosevelt Ave, Grants, NM, 87020-2118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356314504
Provider Name
Gutierrez Medical Group Pa
Credential
Provider Entity Type
Organization
Address
1010 E Roosevelt Ave, Grants, NM, 87020-2118
Phone Number
505-287-2948
Fax Number
505-287-5372
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44636 05 NM
institution
Provider Business Practice Location Address Details
Address
1010 E Roosevelt Ave
City
Grants
State
New Mexico
Zip
87020-2118
Phone Number
505-287-2948
Fax Number
505-287-5372
person
Provider Business Mailing Address Details
Address
1010 E Roosevelt Ave
City
Grants
State
New Mexico
Zip
87020-2118
Phone Number
505-287-2948
Fax Number
505-287-5372
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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