Provider First Line Business Practice Location Address:
GALLUP INDIAN MEDICAL CENTER
Provider Second Line Business Practice Location Address:
516 EAST NIZHONI BLVD
Provider Business Practice Location Address City Name:
GALLUP
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-222-8617
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/11/2018