Gayle Chacon Valid NPI
Individual provider · Family Medicine Physician · Bernalillo, NM
- NPI
- 1427064179
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 96-28 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-08-01
- Last updated
- 2017-03-22
Practice location
481 Sandia Loop, Sandia Pueblo Clinic
Bernalillo, NM 87004-7076
(505) 867-4487