| NPI | 1871192377 |
|---|---|
| Doing Business As | GALLUP SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | TERRENCE JOHNSON Owner 469-235-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |