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Individual

DR. CHAYANIN MUSIKASINTHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1650
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1650

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD14862
HI
208600000X
Surgery Physician
MDR5069
HI

Other

Enumeration date
06/15/2007
Last updated
11/02/2011
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