SearchNew Mexico1041S0200X

Jotham Ippel

NPI 1356739957 · on the registry since 2015

Practice

Address
1000 E Aztec Ave
Gallup, NM 87301
Phone
(505) 721-1182
Organisation at this address
Gallup Mckinley County Schools
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico