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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 Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GALISTEO ADVANCED GYNECOLOGY LLC

NPI # 1235327784
LBN Legal business name GALISTEO ADVANCED GYNECOLOGY LLC
Authorized official BRIAN SUMMERS - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2007
Last updated 10/10/2007 - About 19 years ago
Identifiers
NM License # 82295
NM Medicaid 46813
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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