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1447246095
SAMUEL DOUGLAS MACBRIDE
GALLUP, NM
NPI
1447246095
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM MD2005-0662)
Enumeration Date
2005-09-20
Last Update Date
2024-09-11
Business Address
SAMUEL DOUGLAS MACBRIDE MD
516 EAST NIZHONI BLVD.
GALLUP, NM 87301-1337
Phone number: 505-722-1000
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Mailing Address
SAMUEL DOUGLAS MACBRIDE MD
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 87106-4310
Phone number: 505-272-1476
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