Individual
BENITO GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S TELSHOR BLVD, 16-108, LAS CRUCES, NM 88011-5071
(505) 521-0793
(505) 532-1607
Mailing address
2525 S TELSHOR BLVD, 16-108, LAS CRUCES, NM 88011-5071
(575) 521-1919
(575) 521-1676
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
89-197
NM
Other
Enumeration date
03/29/2007
Last updated
01/19/2012
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