Susan L Elizondo
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER


Address: 007 Choosgai Dr, Tohatchi, NM 87325
Phone: 5057338413

Susan L Elizondo (NPI# 1033166038, PAC ID# 3971503871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1033166038
PAC ID by PECOS 3971503871
Professional Enrollment ID I20140514000195
Full Name Susan L Elizondo
Organization Legal Name DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
Address 007 Choosgai Dr
Tohatchi
NM 87325
Phone Number 5057338413
Gender F
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 2003
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 3173436409
Number of Group Practice Members 144
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320061 GALLUP INDIAN MEDICAL CENTER

Other Locations

Address Phone Organization
007 Choosgai Dr, Tohatchi, NM 87325 5057338413 DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER

Organization Information

Organization Legal Name DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
Physicians 48

Physicians with the same organization

Name Specialty Organization Address
Joel E Cleary Orthopedic Surgery Dhhs,phs,naihs, Gallup Indian Medical Center 224 E Nizhoni Blvd, Gallup, NM 87301-5744
David F Poe Orthopedic Surgery Dhhs,phs,naihs, Gallup Indian Medical Center 516 Nizhoni Blvd, Gallup, NM 87301-5748
Caleb R Lauber Family Practice Dhhs,phs,naihs, Gallup Indian Medical Center 007 Choosgai Dr, Tohatchi, NM 87325
Charles R Pribyl Orthopedic Surgery Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Franklin L Dawes Internal Medicine Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Jean Proper Nurse Practitioner Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Vikeen Jaykrishna Patel Internal Medicine Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Casey Graziani Internal Medicine Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748
William N Watson Certified Registered Nurse Anesthetist Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748
Brian P Mcphee Psychiatry Dhhs,phs,naihs, Gallup Indian Medical Center 516 E Nizhoni Blvd, Gallup, NM 87301-5748

Office Location

Street Address 007 CHOOSGAI DR
City TOHATCHI
State NM
Zip 87325

Physicians in the same location

Name Specialty Organization Address
Rachel L Stephan Optometry Dhhs Phs Naihs Gallup Indian Medical Center 007 Choosgai Dr, Tohatchi, NM 87325
Jennifer M Bass Internal Medicine Dhhs Phs Naihs Gallup Indian Medical Center 007 Choosgai Dr, Tohatchi, NM 87325
Caleb R Lauber Family Practice Dhhs,phs,naihs, Gallup Indian Medical Center 007 Choosgai Dr, Tohatchi, NM 87325
Ronald S Johnson Clinical Psychologist Dhhs,phs,naihs, Gallup Indian Medical Center 007 Choosgai Dr, Tohatchi, NM 87325

Competitor

Search similar physicians

City TOHATCHI
Zip Code 87325
Specialty FAMILY PRACTICE
City + Specialty TOHATCHI + FAMILY PRACTICE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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