Individual
MUFARO DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301
(505) 722-1000
(505) 722-1765
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1765
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9601777
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10383263
—
NM
05
—
850801
—
AZ
Enumeration date
03/08/2006
Last updated
04/17/2008
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