Individual
MR. WENDELL DERRY GAMMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
10400 ACADEMY RD NE, #313, ALBUQUERQUE, NM 87111-1229
(505) 822-8440
Mailing address
10400 ACADEMY RD NE, #313, ALBUQUERQUE, NM 87111-1229
(505) 822-8440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5529
NM
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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