San Miguel Clinic Corp

NPI 1114920717 - Family Medicine - 207Q00000X

NPI Details
NPI 1114920717
Enumeration Date 05/27/2005
Last Updated 10/06/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEBBIE T DEBBIE
Position DIRECTOR OF PROVIDER ENROLLMENT
Phone (505) 425-6751
Fax (615) 309-3338
Practice Location
1235 8TH ST
LAS VEGAS NM, 87701-4219, US
Phone (505) 425-6751
Fax (615) 309-3338
Business Location
7100 COMMERCE WAY
SUITE 180
BRENTWOOD TN, 37027-2829, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1114920717 NPI Number
 

According to our database, San Miguel Clinic Corp NPI is 1114920717, taxonomy code is 207Q00000X San Miguel Clinic Corp physically located at 1235 8th St, Las Vegas NM, 87701-4219. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1114920717 NPI number is provided on an as is basis without warranty of any kind. 1114920717 is maintained by the National Plan & Provider Enumeration System. The contents of San Miguel Clinic Corp are for informational purposes only.