Shane Andrew Gailushas MD

NPI 1073786521 - Otolaryngology - 207YX0905X

NPI Details
NPI 1073786521
Gender Male
Enumeration Date 04/04/2008
Last Updated 07/29/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
8200 CARMEL AVE NE
SUITE 102A
ALBUQUERQUE NM, 87122-2941, US
Phone (505) 514-0767
Fax
Business Location
1190 SPRING CREEK PL
SUITE E1
SPRINGVILLE UT, 84663-3045, US
Phone (801) 852-9888
Fax
Toxanomy
Taxonomy Code 207YX0905X
License State Montana
License Number MED-PHYS-LIC-33185
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According to our database, Dr. Shane Andrew Gailushas MD NPI is 1073786521, taxonomy code is 207YX0905X and license number is MED-PHYS-LIC-33185, license state is located at Montana. Shane Andrew Gailushas MD physically located at 8200 Carmel Ave Ne, Albuquerque NM, 87122-2941. NPI Number Shane Andrew Gailushas MD has the Individual type.

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1073786521 NPI number is provided on an as is basis without warranty of any kind. 1073786521 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Andrew Gailushas MD are for informational purposes only.