Individual
EDDIE LEON GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42145 N FAIRGREEN CT, ANTHEM, AZ 85086-1066
(575) 405-7697
Mailing address
3800 E LOHMAN AVE, LAS CRUCES, NM 88011-8273
(575) 522-6500
(575) 522-0591
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
94250
NM
208D00000X
General Practice Physician
94250
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26189
—
NM
Enumeration date
05/04/2006
Last updated
03/27/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us