Endovascular
Endovascular is an Obesity Medicine (Family Medicine) Physician in Gallup, New Mexico. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
2240 College DrGallup, NM 87301-7003
Phone: (505) 297-1052
Fax: (505) 297-1227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|---|
| Obesity Medicine (Family Medicine) Physician | Taxonomy 207QB0002X |
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X |
Record details
| NPI number | 1972221182 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kiup Kim — Chief Medical Officer · (480) 584-2369 |
| Other names | Endovascular |
| NPI enumerated | August 15, 2022 |
| Last updated in NPPES | September 8, 2022 |
| Certification date | September 8, 2022 |
| Mailing address | 202 E Earll Dr Ste 360, Phoenix, AZ 85012-2677 |