Individual
EILEEN BIUNNO
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) 722-1192
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1192
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
85-140
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002097
LOVELACE HEALTH/SALUD
NM
01
—
201000850
PRESBYTERIAN HEALTH/SALUD
NM
01
—
413328
AHCCCS
AZ
01
—
85031326887301A099
CHAMPUS
—
01
—
NM011561
BC/BS
NM
01
—
P00049373
RAILROAD MEDICARE
—
05
—
R6765
—
NM
Enumeration date
01/05/2006
Last updated
02/10/2012
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