Individual
JANE MARIE GILBRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 W HOBBS ST, ROSWELL, NM 88203-1869
(505) 623-3311
(505) 622-1273
Mailing address
111 W HOBBS ST, ROSWELL, NM 88203-1869
(505) 623-3311
(505) 622-1273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99210
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00074557
—
NM
Enumeration date
04/11/2006
Last updated
08/30/2007
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