Individual
DR. EDITH R. GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPP
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1125
(505) 841-1737
Mailing address
751 SOUTH BASCOM AVENUE, DEPARTMENT OF EMERGENCY MEDICINE, SAN JOSE, CA 95128
(408) 885-5111
(408) 885-5117
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2017-0464
NM
207P00000X
Emergency Medicine Physician
R73247
AZ
Other
Enumeration date
07/11/2012
Last updated
07/21/2022
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