Daniel Petrosky, MD

Emergency Medicine Physician · Gallup, NM

Individual Active NPI

NPI number 1003511643

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone
(505) 722-1165

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NPI record

NPI
1003511643
Entity type
Individual (Type 1)
Enumeration date
April 3, 2023
Last updated
August 20, 2026
Certified
August 20, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X MD495043 PA

Mailing address

104 Ute Cir
Gallup, NM 87301-5954
Phone
(215) 370-0638

About Dr. Petrosky

Daniel Petrosky, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 516 E Nizhoni Blvd, Gallup, NM 87301-5748. The NPI number 1003511643 was assigned on April 3, 2023 and the record was last updated on August 20, 2026.

Dr. Petrosky lists a license in the registry: #MD495043 (PA) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Petrosky, MD?

The NPI number is 1003511643.

What is the phone number of Dr. Petrosky?

The phone number listed for the practice location is (505) 722-1165.

Where is Dr. Petrosky located?

516 E Nizhoni Blvd, Gallup, NM 87301-5748.

What is the taxonomy code for Dr. Petrosky?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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