Individual
GILLES C IZEBOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2351 INDIAN WELLS, ALAMOGORDO, NM 88310-5012
(575) 437-3351
(575) 437-2622
Mailing address
PO BOX 2860, ALAMOGORDO, NM 88311-2860
(575) 437-3351
(575) 434-8820
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3228
NM
Other
Enumeration date
10/06/2006
Last updated
06/17/2011
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