Steven Bruce Kidman M.D.

NPI 1730295262 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1730295262
Gender Male
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
11 CALLE MEDICO
SUITE 2
SANTA FE NM, 87505-4705, US
Phone (505) 983-7605
Fax
Business Location
129 LA PLACITA CIR
SANTA FE NM, 87505-4008, US
Phone (505) 983-7605
Fax
Toxanomy
Taxonomy Code 208100000X
License State New Mexico
License Number MD2006-0557
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According to our database, Steven Bruce Kidman M.D. NPI is 1730295262, taxonomy code is 208100000X and license number is MD2006-0557, license state is located at New Mexico. Steven Bruce Kidman M.D. physically located at 11 Calle Medico, Santa Fe NM, 87505-4705. NPI Number Steven Bruce Kidman M.D. has the Individual type.

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1730295262 NPI number is provided on an as is basis without warranty of any kind. 1730295262 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Bruce Kidman M.D. are for informational purposes only.