Unknown Individual – Internal Medicine Physician, NPI 1114164076
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Box Avenue, Sandy Point, Shire of South Gippsland, Victoria, Australia
SANDY, UT 840708850
Phone: (801) 352-9500
Fax: (801) 352-9502
Type: Mailing
1901, Redrock Drive, Gallup, McKinley County, New Mexico, 87301, United States
GALLUP, NM 873015683
Phone: (505) 863-7211
Fax: (505) 726-6751
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84070)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Internal Medicine | NM | |
| - | VA | |
| - | NM |
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