| Kathleen Mezoff, MD | |
|
2111 College Dr, Gallup, NM 87301-5600 | |
| (505) 863-1820 | |
| Not Available |
| Full Name | Kathleen Mezoff |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 2111 College Dr, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942272208 | NPI | - | NPPES |
| 10002105 | Other | NM | LOVELACE HEALTH/SALUD |
| PROVP14495 | Other | NM | MOLINA |
| 239922 | Medicaid | AZ | |
| NM001861 | Other | NM | BCBS |
| 13656 | Medicaid | NM | |
| 85031326887301A131 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 80-68 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Mezoff, MD 1901 Redrock Dr, Pfs Dept, Gallup, NM 87301-5683 Ph: (505) 863-7000 | Kathleen Mezoff, MD 2111 College Dr, Gallup, NM 87301-5600 Ph: (505) 863-1820 |
Dr. Carlos Manuel De Sanctis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Ramona V. Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Dr. John Edward Ratmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Michelle Stam-maclaren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820 | |
Eden Christian Henry, Pediatrics Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Janet M Li-tempest, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268 | |
Gary A Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1397 |