SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC NPI 1124111901

NPI Information

SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC is a medical specialty clinic center in Santa Fe, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC NPI is 1124111901. The provider is registered as an organization entity type.

The provider's business location address is:

11 CALLE MEDICO
SUITE 2
SANTA FE, NM
ZIP 87505-705
Phone: (505) 795-7370
Fax: (505) 795-7371

The provider's authorized official is Steven Bruce Kidman .
The authorized official title is President Owner and has the following contact phone number (505) 795-7370.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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