| Endovascular | |
|
2240 College Dr Gallup NM 87301-7003 | |
| (505) 297-1052 | |
| (505) 297-1227 |
| Full Name | Endovascular |
|---|---|
| Speciality | Surgery |
| Location | 2240 College Dr, Gallup, New Mexico |
| Authorized Official Name and Position | Kiup Alexander Kim (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4805842369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endovascular 202 E Earll Dr Ste 360 Phoenix AZ 85012-2677 Ph: (480) 788-5621 | Endovascular 2240 College Dr Gallup NM 87301-7003 Ph: (505) 297-1052 |
| NPI Number | 1972221182 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 09/08/2022 |
| Certification Date | 09/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972221182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | () | Secondary |
| 208600000X | Surgery | () | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | () | Secondary |
Gallup Quick Clinic PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Highway 66, Gallup, NM 87301 Phone: 505-722-9334 Fax: 505-722-9352 |
Western NM Med Grp- Bh-gallup Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-863-6612 |
Legacy Family Medicine LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 |
David C. Mckenzie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 E Aztec Ave Ste 6, Gallup, NM 87301 Phone: 505-863-9374 |
Heavenly Health Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 East Hill Avenue, Gallup, NM 87301 Phone: 505-722-6770 Fax: 505-722-6799 |
Gallup Foot and Ankle Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Nm Highway 564, Gallup, NM 87301 Phone: 505-542-0090 Fax: 520-542-0155 |