Individual
CALSEY COWBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 E HISTORIC HIGHWAY 66, GALLUP, NM 87301-5466
(505) 726-9642
(800) 507-4193
Mailing address
1108 E HISTORIC HIGHWAY 66, GALLUP, NM 87301-5466
(505) 726-9642
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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