Individual
DR. CARLOS MANUEL DE SANCTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301
(505) 722-1000
(505) 722-1268
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12531
PR
Other
Enumeration date
11/07/2006
Last updated
03/09/2012
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