Individual
DMITRY GARMAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401-4504
(505) 609-6830
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD2018-0224
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD2018-0224
NM
Other
Enumeration date
03/29/2013
Last updated
11/14/2024
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