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New Mexico Vascular Consulting LLC

Surgery in Gallup, NM. Organization (NPI-2).

NPI number1508574724
StatusActive
Last updated in NPPESAug 28, 2025

Details

NPI
1508574724
Entity type
Organization (NPI-2)
Legal business name
New Mexico Vascular Consulting LLC
Organization subpart
No
Enumeration date
Nov 7, 2022
Certification date
Aug 28, 2025
Last updated
Aug 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes
207QA0505X Family Medicine, Adult Medicine––
213ES0103X Podiatrist, Foot & Ankle Surgery––

Other names

  • Gallup Foot And Ankle (Doing Business As)
  • Sonoran Vein & Endovascular, LLC (Doing Business As)

Practice location

520 Nm Highway 564
Gallup, NM 87301-4873

Phone 505-542-0090 · Fax 520-542-0155

Mailing address

9192 W Union Hills Dr
Peoria, AZ 85382-8208

Phone 602-374-4101 · Fax 602-441-0522

Other practice locations

1808 E Aztec Ave Ste 3
Gallup, NM 87301-4946

Phone 505-522-3323 · Fax 505-522-3395

Authorized official

David Nye
Owner
4803637778

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