Organization
GYPSUM MEDICAL ASSOCIATES OF NEW MEXICO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DANIEL MINGEA (DIRECTOR)
(815) 363-9500
Entity
Organization
Contact information
Practice address
2501 BUENA VISTA DR SE, ALBUQUERQUE, NM 87106-4260
(505) 923-5510
Mailing address
4805 PRIME PKWY, PO BOX 550, MCHENRY, IL 60050-7002
(815) 363-9500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP01327
NM
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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