Individual provider · NPI-1

Maria P Gobencion, MD

Surgery · Gallup, NM

NPI number1184655508
StatusActive
Last updated in NPPESApr 14, 2008

Details

NPI
1184655508
Entity type
Individual (NPI-1)
Name
Maria P Gobencion
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 5, 2006
Last updated
Apr 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery205504MAYes

Practice location

516 E. 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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