Gail L Rothfork CNM

NPI 1083708473 - Obstetrics & Gynecology - 207VX0000X

NPI Details
NPI 1083708473
Gender Female
Enumeration Date 10/03/2006
Last Updated 08/31/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
401 SAN MATEO BLVD SE
PMG SAN MATEO
ALBUQUERQUE NM, 87108-2921, US
Phone (505) 462-7306
Fax (505) 462-7495
Business Location
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM, 87125-6666, US
Phone (505) 923-5356
Fax (505) 923-5354
Toxanomy
Taxonomy Code 207VX0000X
License State New Mexico
License Number 474
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According to our database, Gail L Rothfork CNM NPI is 1083708473, taxonomy code is 207VX0000X and license number is 474, license state is located at New Mexico. Gail L Rothfork CNM physically located at 401 San Mateo Blvd Se, Albuquerque NM, 87108-2921. NPI Number Gail L Rothfork CNM has the Individual type.

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1083708473 NPI number is provided on an as is basis without warranty of any kind. 1083708473 is maintained by the National Plan & Provider Enumeration System. The contents of Gail L Rothfork CNM are for informational purposes only.