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Organization
HIGH DESERT NEPHROLOGY ASSOCIATES PLLC
Active
Organization
HIGH DESERT NEPHROLOGY ASSOCIATES PLLC
Active
Other names
High Desert Nephrology Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
OLADIPO A ADENIYI MD (OWNER)
(505) 863-7993
Entity
Organization
Contact information
Practice address
1551 S SECOND ST, GALLUP, NM 87301-5881
(505) 863-7993
(505) 863-9406
Mailing address
1551 S SECOND ST, GALLUP, NM 87301-5881
(505) 863-7993
(505) 863-9406
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
80-00001863
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17577764
—
NM
Enumeration date
06/25/2008
Last updated
12/07/2022
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