Individual
GILLIAN ELECTA MAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
(505) 722-1268
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35061091M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R4699
—
NM
05
—
416744
—
AZ
Enumeration date
03/22/2006
Last updated
04/23/2008
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