Search › New Mexico › 122300000X
Mariah Gordon
NPI 1588410294 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2050a 2nd St Se
Kirtland Afb, NM 87117 - Phone
- (505) 846-3200
- Clinicians at this address
- 93
Additional practice sites
- 2501 Capehart Rd, Offutt Afb, NE
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-16
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