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NEW MEXICO SURGICAL ASSISTING INC NPI 1508161936


NPI Information

NPI: 1508161936
Provider Name: NEW MEXICO SURGICAL ASSISTING, INC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1505 KACHINA RIDGE DR
SANTA FE, NM
ZIP 87507
Phone: (505) 463-5645
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NEW MEXICO SURGICAL ASSISTING, INC is a surgical physician assistant in Santa Fe, NM. NEW MEXICO SURGICAL ASSISTING, INC NPI is 1508161936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 KACHINA RIDGE DR
SANTA FE, NM
ZIP 87507-172
Phone: (505) 463-5645
Fax: (888) 816-6104

The provider's authorized official is Valeriane M Wilson .
The authorized official title is President/director and has the following contact phone number (505) 991-5713.

The enumeration date for this NPI number is 1/15/2011 and was last updated on 1/15/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AS0400XPhysician AssistantSurgicalPA2005-0035NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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