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Individual

OSCAR PALOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1901 REDROCK DR, GALLUP, NM 87301-5683
(505) 863-7000
Mailing address
1901 REDROCK DR, PFS DEPT, GALLUP, NM 87301-5683
(505) 863-7000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
94-350
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002115
LOVELACE HEALTH/SALUD
NM
01
201014078
PRESBYTERIAN HEALTH/SALUD
NM
05
23455
NM
01
366767
AHCCCS
AZ
01
85031326887301A057
CHAMPUS
01
930027304
RAILROAD MEDICARE
01
BCBS
NM007580
NM
01
PROVP15555
MOLINA
NM
Enumeration date
02/02/2006
Last updated
07/08/2007
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