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Ian Gallegos, PTA
NPI 1649639931 · on the registry since 2016
Practice
- Address
- 3200 Mission Arch Dr
Roswell, NM 88201 - Phone
- (575) 624-2583
- Fax
- (575) 623-8949
- Organisation at this address
- Mark Andrews Md Llc
Mission Arch Operator Llc
Peak Medical Roswell, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-16
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