San Juan Regional Medical Center INC

NPI #1023379609 in Farmington, New Mexico

Provider Information

NPI Number
1023379609
Entity Type
Organization
Organization Name
San Juan Regional Medical Center INC
Primary Specialty
Specialist/Technologist, Other - Surgical Assistant
Enumeration Date
May 31, 2012
Last Updated
May 31, 2012

Practice Location

Address
801 W MAPLE ST
ZIP Code
87401-5630
Phone
(505) 609-2258

Authorized Official

Name
J MICHAEL PHILIPS
Title
CSO
Phone
(505) 609-6025

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other - Surgical AssistantSurgical Assistant

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