Gorrell, Gavin Arthur
Gorrell, Gavin Arthur is an individual health care provider with primary practice located at 2947 Rodeo Park Dr E , Santa Fe NM 87505-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gorrell, Gavin Arthur can be contacted via phone (505) 983-6613.Contact Information
Primary practice address
2947 Rodeo Park Dr E
Santa Fe NM 87505-6303
Phone: (505) 983-6613
Fax: (505) 986-9984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD2022-0431 | New Mexico |
Profile Details
| NPI number | 1366928574 |
|---|---|
| LBN Legal business name | Gorrell, Gavin Arthur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2018 |
| Last updated | Oct 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366928574 | NPPES |
| New Mexico | MEDICAID | 35670029 | |
| New Mexico | Other | 2G1824 |
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