Four Corners Ambulatory Surgery Center, LLC
NPI #1104990050 in Farmington, New Mexico
Provider Information
- NPI Number
- 1104990050
- Entity Type
- Organization
- Organization Name
- Four Corners Ambulatory Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 2300 E 30TH ST BLDG A
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-8991
- Phone
- (505) 564-2300
Authorized Official
- Name
- MS. CHARLES REDWING, FACMPE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (505) 564-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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