Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GARY BRUCE WOODCOCK, D.M.D
ActiveDR. GARY BRUCE WOODCOCK, D.M.D is a Oral & Maxillofacial Surgery healthcare provider located in GALLUP, New Mexico. NPI 1093855272 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · GALLUP, NM
Registration Details
- NPI Number
- 1093855272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.505919625186 yrs)
- Last Updated
- Oct 31, 2011
- License
-
25656 (CA)
Practice Information
- Address
-
516 EAST NIZHONI BLVD.GALLUP, NM, 873011337Browse NM providers · Browse ZIP 87301
- Phone
- 5057221560
- Fax
- 5057221563
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.