Desert Mountain Skin Cancer Surgery, LLC
NPI #1104378314 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1104378314
- Entity Type
- Organization
- Organization Name
- Desert Mountain Skin Cancer Surgery, LLC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Nov 4, 2016
- Last Updated
- Jan 18, 2017
Practice Location
- Address
- 2019 GALISTEO STREET
- Address 2
- SUITE N-9B
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505
- Phone
- (505) 980-8738
Authorized Official
- Name
- DIANE MARIE REISINGER, M.D.
- Title
- PHYSICIAN
- Phone
- (505) 980-8738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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