Individual
MARIA P GOBENCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1650
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
205504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F8276
—
NM
05
—
551243
—
AZ
Enumeration date
07/05/2006
Last updated
04/14/2008
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