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Individual

DAVID FRANK POE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1256
Mailing address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1256

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
88-59
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000R6688
NM
05
419467
AZ
Enumeration date
07/06/2006
Last updated
12/02/2008
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