Dr. Gary Bruce Woodcock
Oral and Maxillofacial Surgeon
516 East Nizhoni Blvd.
Gallup
, New Mexico 87301-1337
Dr. Gary Bruce Woodcock
Oral and Maxillofacial Surgeon
516 East Nizhoni Blvd.
Gallup
, New Mexico 87301-1337
(505) 722-1563
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gary Bruce Woodcock
- P.o. Box 1337
- Gallup, NM
- Zip : 87305-1337
- Fax : (505) 722-1563
- Phone : (505) 722-1560
Second Address
- Dr. Gary Bruce Woodcock
- 516 East Nizhoni Blvd.
- Gallup, NM
- Zip : 87301-1337
- Fax : (505) 722-1563
- Phone : (505) 722-1560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 25656 | CA |
National Provider Identifier
| NPI | 1093855272 |
|---|---|
| Provider Name | Dr. Gary Bruce Woodcock |
| First Address | Gallup, NM 87305-1337 |
| Second Address | Gallup, NM 87301-1337 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/02/2007 |
| Last Update Date | 31/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.