Individual
REBECCA GEBALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
933 BRADBURY SE, SUITE 2222, ALBUQUERQUE, NM 87106-2719
(505) 272-3120
(505) 272-8060
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
AA2009-001
NM
367H00000X
Anesthesiologist Assistant
Primary
004393
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655260227A
—
GA
Enumeration date
01/05/2007
Last updated
05/09/2025
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