Gerald L Watchman in Gallup - Addiction (substance Use Disorder)

Gerald L Watchman - NPI 1215068200

Gerald L Watchman is a Addiction (substance Use Disorder) in Gallup, New Mexico. Gerald L Watchman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gerald L Watchman is 1215068200. The last update date is 2007-07-08.

Gerald L Watchman's current location address is 1901 Redrock Dr, Gallup, New Mexico. You can contact this provider via phone number 5058637000. The mailing address for Gerald L Watchman is 1901 Redrock Dr, Gallup, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald L Watchman
Address 1901 Redrock Dr, Gallup, New Mexico
Phone Number 5058637000
Fax Number
Sole Proprietor N
Credentials LADAC

NPI Number Detail

NPI Number 1215068200
Provider Enumeration Date 2007-03-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1901 Redrock Dr
City Gallup
State New Mexico (NM)
Post Code 873015683
Phone Number 5058637000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 73141
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
VNM00011OT NM VALUE OPTIONS

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FAQs about Gerald L Watchman

What is the Gerald L Watchman's unique identification number?

The Gerald L Watchman has been assigned the NPI (National Provider Identifier) Number 1215068200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Gerald L Watchman?

The Gerald L Watchman is physically situated at 1901 Redrock Dr, in the city of Gallup, state of NM, with the postal code 873015683.

What is Gerald L Watchman's area of expertise and its corresponding taxonomy classification?

The Gerald L Watchman's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.

On what date did the Gerald L Watchman receive its 1215068200 assignment from the Centers for Medicare & Medicaid Services?

The Gerald L Watchman was assigned its 1215068200 by the Centers for Medicare & Medicaid Services on 2007-03-08.

As of what date was the information pertaining to Gerald L Watchman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gerald L Watchman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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