NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1326070129 | COX | JAMES | EDWARD |   | 516 E. NIZHONI BLVD. | GALLUP | NM | 873011337 |
1942230610 | CULLIGAN | BRIAN |   |   | 516 E. NIZHONI BLVD | GALLUP | NM | 873011337 |
1598028201 | JOHANSEN | ERIC | D. |   | P.O. BOX 1337 | GALLUP | NM | 873051337 |