Healthcare Provider Details

I. General information

NPI: 1881679777
Provider Name (Legal Business Name): GILA OB GYN ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 RIDGELOOP
SILVER CITY NM
88061
US

IV. Provider business mailing address

3201 RIDGELOOP
SILVER CITY NM
88061
US

V. Phone/Fax

Practice location:
  • Phone: 505-538-2936
  • Fax: 505-538-2775
Mailing address:
  • Phone: 505-538-2936
  • Fax: 505-538-2775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number70205
License Number StateNM

VIII. Authorized Official

Name: DR. RICHARD MICHAEL STEINZIG
Title or Position: MD PRESIDENT
Credential: MD
Phone: 505-538-2936