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Individual

WILLIAM DOUGLAS GURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 E 30TH ST BLDG D, STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 327-3474
Mailing address
2300 E 30TH ST BLDG D, STE 101, FARMINGTON, NM 87401-8990
(505) 327-1400
(505) 327-3474

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
84190
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00NM009T49
BCBS
NM
01
10016521
CIGNA/LOVELACE
NM
05
16358759
NM
01
P00255231
RAILROAD MCARE
Enumeration date
12/02/2005
Last updated
05/06/2008
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