Mezoff, John M.

Mezoff, John M. is an individual health care provider with primary practice located at 231 Nizhoni Blvd , Gallup NM 87301-5792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mezoff, John M. can be contacted via phone (505) 722-2268.

Contact Information

Primary practice address
231 Nizhoni Blvd Gallup NM 87301-5792
Phone: (505) 722-2268
Fax: (505) 863-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 80-67 New Mexico

Profile Details

NPI number 1285624296
LBN Legal business name Mezoff, John M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 25th, 2008 - about 18 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 1285624296 NPPES
New Mexico Other NM001869 BC BS OF NM
New Mexico MEDICAID 13649 BC BS OF NM
New Mexico Other 180014478 BC BS OF NM
New Mexico MEDICAID 239930 BC BS OF NM

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