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Carmelita Agodon, MD
Pain Medicine (Anesthesiology) Physician in Gallup, New Mexico
NPI 1710965272

Carmelita Agodon is a Pain Medicine (Anesthesiology) Physician based in Gallup, NM and is specialized in Pain Medicine. Carmelita Agodon practices in Gallup, NM and has the professional credentials of MD. The NPI Number for Carmelita Agodon is 1710965272 and holds a License No. 2001-01 (New Mexico).

The current practice location address for Carmelita Agodon is 1901 Redrock Dr, Gallup, NM and can be reached out via phone at 505-863-7120.

Location: 1901 Redrock Dr, Gallup, NM, 87301-5683
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710965272
Provider Name
Carmelita Agodon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1901 Redrock Dr, Gallup, NM, 87301-5683
Phone Number
505-863-7120
Fax Number
Provider Enumeration Date
01/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10004799 01 NM LOVELACE HEALTH/SALUD
P00200853 01 RAILROAD MEDICARE
768781 01 AZ AHCCCS
NM009E83 01 NM BC/BS
85031326887301A159 01 CHAMPUS
PROVP11034 01 NM MOLINA
48126705 05 NM
P00211389 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1901 Redrock Dr
City
Gallup
State
New Mexico
Zip
87301-5683
Phone Number
505-863-7120
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Redrock Dr
City
Gallup
State
New Mexico
Zip
87301-5683
Phone Number
505-863-7120
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
2001-01 (New Mexico)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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