Four Corners Ambulatory Surgery Center, Llc

NPI 1104990050 - Clinic/Center - 261QA1903X

NPI Details
NPI 1104990050
Enumeration Date 11/20/2006
Last Updated 04/08/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES CHARLES
Position EXECUTIVE DIRECTOR
Phone (505) 564-2300
Fax (505) 564-2210
Practice Location
2300 E 30TH ST BLDG A
FARMINGTON NM, 87401-8991, US
Phone (505) 564-2300
Fax (505) 564-2210
Business Location
2300 E 30TH ST BLDG A
FARMINGTON NM, 87401-8991, US
Phone (505) 564-2300
Fax (505) 564-2210
Toxanomy
Taxonomy Code 261QA1903X
License State New Mexico
License Number 6701
Remove 1104990050 NPI Number
 

According to our database, Four Corners Ambulatory Surgery Center, Llc NPI is 1104990050, taxonomy code is 261QA1903X and license number is 6701, license state is located at New Mexico. Four Corners Ambulatory Surgery Center, Llc physically located at 2300 E 30th St Bldg A, Farmington NM, 87401-8991. NPI Number 1033115704 has the healthcare provider type.

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1104990050 NPI number is provided on an as is basis without warranty of any kind. 1104990050 is maintained by the National Plan & Provider Enumeration System. The contents of Four Corners Ambulatory Surgery Center, Llc are for informational purposes only.