Search › New Mexico › 367500000X
Shane Parks, CRNA
NPI 1588988745 · on the registry since 2010
Practice
- Address
- 516 E Nizhoni Blvd
Gallup, NM 87301 - Phone
- (505) 722-1000
- Organisation at this address
- Gallup Indian Med Center Pharmacy
Dhhs,Phs,Naihs, Gallup Indian Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,278
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico