Steven Arrowsmith, MD

Individual provider Active NPI Urology Physician · Gallup, NM

NPI 1598743056 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1598743056
Entity type
Individual (NPI type 1)
Primary specialty
Urology Physician 208800000X
License
96-177 (NM)
Practice address
1900 Redrock Dr
Rehoboth McKinley Christian Health Care Services
Gallup, NM 87301-5682
Phone
(505) 863-7200
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96-177NMMDUrology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 96-177 NM Yes

Addresses

Primary practice location

1900 Redrock Dr
Rehoboth McKinley Christian Health Care Services
Gallup, NM 87301-5682

Mailing address

1901 Redrock Dr
Rehoboth McKinley Christian Health Care Services
Gallup, NM 87301-5683
Phone (505) 863-7000

Other identifiers

IdentifierTypeStateIssuer
85031326887301A084OtherCHAMPUS
404278OtherAZAHCCCS
10002095OtherNMLOVELACE HEALTH/SALUD
NM000894OtherNMBC/BS
K4119MedicaidNM
PROVP11243OtherNMMOLINA

Other providers in Gallup, NM

All providers in Gallup, NM · Urology Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.