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Contact Information

CHRISTOPHER GAVALDON, PA-C
PRESBYTERIAN HEART GROUP (PHG)
201 CEDAR SE SUITE 7600
ALBUQUERQUE, NM87106
 Phone: 505-563-2500
 Fax: 505-563-2603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CHRISTOPHER GAVALDON · (Male)

NPI Number 1447345624
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/04/2006
Last updated 08/06/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2003-0014
  • NM Medicaid 64276210
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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