Individual
PATRICK GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 WALTER ST NE STE 309, ALBUQUERQUE, NM 87102-2562
(505) 727-7380
(505) 727-9590
Mailing address
4101 INDIAN SCHOOL RD NE STE 110, ALBUQUERQUE, NM 87110-3991
(505) 727-7380
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2020-0393
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14913165
CAQH
NM
Enumeration date
03/30/2014
Last updated
07/16/2020
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