Individual
MS. CATHERINE GRACE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
305 S STRONG DR, GALLUP, NM 87301
(505) 726-8015
Mailing address
305 S STRONG DR, GALLUP, NM 87301-6162
(505) 726-8015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
83-49
NM
207X00000X
Orthopaedic Surgery Physician
Primary
G86219
CA
207X00000X
Orthopaedic Surgery Physician
MD8043
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8HH354
MEDICARE
TX
Enumeration date
08/16/2006
Last updated
12/12/2025
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