Individual provider · NPI-1

Dr. Loretta L Christensen, MD

Surgery, Trauma Surgery · Gallup, NM

NPI number1063408722
StatusActive
Last updated in NPPESDec 13, 2013

Details

NPI
1063408722
Entity type
Individual (NPI-1)
Name
Dr. Loretta L Christensen
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 27, 2005
Last updated
Dec 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0127X Surgery, Trauma Surgery25MA04723300NJYes
2086S0102X Surgery, Surgical Critical Care25MA04723300NJ

Practice location

516 East Nizhoni Blvd.
Gallup, NM 87301-1337

Phone 505-722-1000 · Fax 505-722-1650

Mailing address

Po Box 1337
Gallup, NM 87305-1337

Phone 505-722-1000 · Fax 505-722-1650

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