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Contact Information

NEW MEXICO VASCULAR CONSULTING LLC
520 NM HIGHWAY 564
GALLUP, NM87301-4873
 Phone: 505-542-0090
 Fax: 520-542-0155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NEW MEXICO VASCULAR CONSULTING LLC · (Female)

NPI Number 1508574724
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2022
Last updated 08/28/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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