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:
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Health care specialties

SpecialtyCodeLicense #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 Jul 25th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366928574 NPPES
New Mexico Other 2G1824 MEDICARE PTAN
New Mexico MEDICAID 35670029 MEDICARE PTAN

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