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Organization
GYPSUM MEDICAL ASSOCIATES OF NEW MEXICO, PC
Active
Organization
GYPSUM MEDICAL ASSOCIATES OF NEW MEXICO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DANIEL MINGEA (OWNER, PHYSICIAN)
(972) 429-5809
Entity
Organization
Contact information
Practice address
BUILDING 9200, AREA Y, KIRTLAND AIR FORCE BASE-EAST, ALBUQUERQUE, NM 87115
(224) 238-0170
Mailing address
4805 PRIME PKWY, MCHENRY, IL 60050-7002
(815) 363-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2011-0778
NM
208000000X
Pediatrics Physician
MD2011-0778
NM
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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