Individual
JUAN GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 899-3933
(505) 298-2985
Mailing address
5904 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2472
(505) 899-3933
(505) 298-2985
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2008-0161
NM
Other
Enumeration date
02/06/2007
Last updated
01/05/2012
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