Gary A Escudero
M.D. | Pediatrics | Male
Gary A Escudero, M.D. is a Gallup, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Gary A Escudero is
516 E. Nizhoni Blvd, Box 1337, Gallup, New Mexico - 87301-1337. He can be contacted on phone at
505-722-1000 and fax number 505-722-1397.
Gary A Escudero is a sole proprietor of his business.
NPI number (Unique professional ID) for Gary A Escudero is
1205867603 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 11 Apr, 2008.
Gary A Escudero license number is
84-176 for Pediatrics (208000000X) in New Mexico.
Gary A Escudero is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gary A Escudero basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Gary A Escudero |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
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Business Address:
Gary A Escudero address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 516 E. Nizhoni Blvd, Box 1337
Gallup, NM, 87301-1337
United States |
|---|
| Phone Number : | 505-722-1000 |
|---|
| Fax Number : | 505-722-1397 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1205867603 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 11 Apr, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary A Escudero are as mentioned. Primary taxonomy code for Gary A Escudero, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 84-176 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Gary A Escudero such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 414582 | MEDICAID | AZ | |
| 000R6724 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 516 E. Nizhoni Blvd, Box 1337
Gallup, NM, 87301-1337
United States |
|---|
| Phone Number : | 505-722-1000 |
|---|
| Fax Number : | 505-722-1397 |
|---|
Business Location:
Patients can refer following map for directions to
Gary A Escudero practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.