Organization
GYPSUM MEDICAL ASSOCIATES OF NEW MEXICO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DANIEL MINGEA (OWNER, PHYSICIAN)
(972) 429-5809
Entity
Organization
Contact information
Practice address
BUILDING 9200, AREA Y, KIRTLAND AIR FORCE BASE-EAST, ALBUQUERQUE, NM 87115
(224) 238-0170
Mailing address
4805 PRIME PKWY, MCHENRY, IL 60050-7002
(815) 363-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2011-0778
NM
208000000X
Pediatrics Physician
MD2011-0778
NM
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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