MEDICARE: GARY ALLEN DOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	350	NM

General Provider Information

NPI Number	:	1780776690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY ALLEN DOM

Provider Business Mailing Address
First Line	:	37A MOONLIGHT MEADOW
Second Line	:
City	:	EDGEWOOD
State	:	NM
Zip	:	87015
Country	:	US
Telephone Number	:	505-286-2728
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 JUAN TABO NE
Second Line	:	SUITE E
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112
Country	:	US
Telephone Number	:	505-291-8017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1467307579 — 2216 LESTER DRIVE OPCO, LLC
Practice Location Address:

2216 LESTER DR NE
ALBUQUERQUE, NM
87112-2607

Practice Phone: 323-928-9445
Practice Fax:

1548264351 — PREMIER ANESTHESIA OF NEW MEXICO, LLP
Practice Location Address:

1720 WYOMING BLVD NE
ALBUQUERQUE, NM
87112-3855

Practice Phone: 505-292-9200
Practice Fax:

1114923695 — MS. THERESA B STRASSBURGER CNP
Practice Location Address:

1012 EUBANK BLVD NE
ALBUQUERQUE, NM
87112-5310

Practice Phone: 505-298-4325
Practice Fax: 505-294-5407

1134125222 — DR. STEPHEN WRAY D.D.S.
Practice Location Address:

1830 JUAN TABO BLVD NE
ALBUQUERQUE, NM
87112-3302

Practice Phone: 505-294-1401
Practice Fax:

1245239185 — MJRX II LLC
Practice Location Address:

1445 WYOMING BLVD NE
ALBUQUERQUE, NM
87112-3849

Practice Phone: 505-299-4496
Practice Fax: 505-299-7713

1336140169 — DR. VESNA DELIC DDS
Practice Location Address:

1924 JUAN TABO BLVD NE , SUITE C
ALBUQUERQUE, NM
87112-3358

Practice Phone: 505-293-3451
Practice Fax: 505-293-0027

Directions to “ GARY ALLEN DOM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.