Individual
MARIA YNES BRUECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301
(505) 722-1000
(505) 726-8557
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 726-8557
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32304
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817710
—
AZ
Enumeration date
05/22/2006
Last updated
09/03/2010
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