Individual
DAVID ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
1430 S CHERRY CIR, DEWEY, AZ 86327-4486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH-4265
HI
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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