Individual
GERHARD Y NYASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M..D.
Contact information
Practice address
9101 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2405
(505) 275-4288
(505) 275-4203
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2007-0117
NM
Other
Enumeration date
07/25/2006
Last updated
12/10/2024
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