Individual
DARRYL MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, 1901 RED ROCK DRIVE, GALLUP, NM 87301
(505) 863-7000
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
93-319
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001036
LOVELACE HEALTH/SALUD
NM
05
—
16592
—
NM
05
—
176207
—
AZ
01
—
201006171
PRESBYTERIAN HEALTH/SALUD
NM
01
—
NM007580
BCBS
NM
01
—
P00200863
RAILROAD MEDICARE
—
01
—
PROVP14220
MOLINA
NM
Enumeration date
02/07/2006
Last updated
09/11/2024
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