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Contact Information

DWAYNE MACIAS
510 W MALONEY AVE
GALLUP, NM87301-5489
 Phone: 505-488-2620
 Fax: 505-488-2668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DWAYNE MACIAS · (Male)

NPI Number 1871048074
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2016
Last updated 08/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 1619
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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