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
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 SurgicalAmbulatory Surgical

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