LEGACY FAMILY MEDICINE LLC

GALLUP, NM
NPI1265172399
Entity TypeOrganization
Authorized ContactBRETT HARTLINE
Administrator
480-498-9086
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
LEGACY FAMILY MEDICINE LLC
1808 E AZTEC AVE STE 6
GALLUP, NM 87301-4946
Phone number: 505-863-9374
Mailing Address
LEGACY FAMILY MEDICINE LLC
PO BOX 402
LUPTON, AZ 86508-1402
Phone number:
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