San Miguel Clinic Corp
NPI #1114920717 in Las Vegas, New Mexico
Provider Information
- NPI Number
- 1114920717
- Entity Type
- Organization
- Organization Name
- San Miguel Clinic Corp
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 27, 2005
- Last Updated
- Oct 17, 2023
Practice Location
- Address
- 108 LEGION DR STE A
- City
- Las Vegas
- State
- New Mexico
- ZIP Code
- 87701-4898
- Phone
- (505) 454-9499
Authorized Official
- Name
- LAURA J FEY
- Title
- DIRECTOR REVENUE CYCLE
- Phone
- (615) 221-3641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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