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Contact Information

ROSE M SAMUEL
GALLUP INDIAN MEDICAL CENTER
516 EAST NIZHONI BLVD
GALLUP, NM87305
 Phone: 717-222-8617
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for ROSE M SAMUEL · (Female)

NPI # 1073096582
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2018
Last updated 09/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # 660697
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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