National Provider Identifier Database

ENDOVASCULAR
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.


Contact Information

ENDOVASCULAR
2240 COLLEGE DR
GALLUP, NM87301-7003
Phone: 505-297-1052
Fax: 505-297-1227
Website:
Specialty Taxonomy Code
* Surgery 208600000X
Bariatric Medicine 207QB0002X
Surgery, Foot & Ankle 213ES0103X

* Indicates primary specialty

NPI Profile & details for ENDOVASCULAR

NPI Number 1972221182
Legal business name
LBN
ENDOVASCULAR
Authorized official KIUP KIM - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 08/15/2022
Last updated 09/08/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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