Individual
DR. CARL JAN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC08 4770, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6472
Mailing address
7464 SIDEWINDER DR NE, ALBUQUERQUE, NM 87113-1298
(505) 341-3333
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
RS20070318
NM
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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