| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 0547645483 |
|---|---|
| Medicare Enrollment ID | O20220914000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972221182 | NPI | - | NPPES |
| Provider Name | Douglas A Tozzoli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346235017 PECOS PAC ID: 9032004775 Enrollment ID: I20090226000339 |
| Provider Name | Carlos Echevarria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538425558 PECOS PAC ID: 2769790773 Enrollment ID: I20181005002155 |
| Provider Name | David James Nye |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558623793 PECOS PAC ID: 6800030024 Enrollment ID: I20220926002521 |
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 | |
Hastaadi Neeznadiin Dba: Gallup Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Coal Ave, Gallup, NM 87301 Phone: 505-726-9642 Fax: 505-726-9642 | |
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: Medicare Enrolled 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 | |
Gallup Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1105 Susan Ave, Gallup, NM 87301 Phone: 206-861-5767 | |
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 |