National Provider Identifier Database

GALISTEO ADVANCED GYNECOLOGY LLC
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

GALISTEO ADVANCED GYNECOLOGY LLC
1691 GALISTEO ST
SUITE D
SANTA FE, NM87505-4780
Phone: 505-984-2300
Fax: 505-988-1940
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for GALISTEO ADVANCED GYNECOLOGY LLC

NPI Number 1235327784
Legal business name
LBN
GALISTEO ADVANCED GYNECOLOGY LLC
Authorized official BRIAN SUMMERS - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/10/2007
Last updated 10/10/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 82295
  • NM Medicaid: 46813

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.

Reviews for GALISTEO ADVANCED GYNECOLOGY LLC

There are currently no reviews for GALISTEO ADVANCED GYNECOLOGY LLC


NPIdb - Home
v2.201