Provider First Line Business Practice Location Address:
516 E. NIZHONI BLVD
Provider Second Line Business Practice Location Address:
GALLUP INDIAN MEDICAL CENTER (GIMC)
Provider Business Practice Location Address City Name:
GALLUP
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-722-1185
Provider Business Practice Location Address Fax Number:
505-726-8621
Provider Enumeration Date:
02/02/2007