Spine Sports& Pain Medicine Steven Kidman Mdpc
NPI #1124111901 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1124111901
- Entity Type
- Organization
- Organization Name
- Spine Sports& Pain Medicine Steven Kidman Mdpc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Jul 7, 2014
Practice Location
- Address
- 11 CALLE MEDICO
- Address 2
- SUITE 2
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4705
- Phone
- (505) 795-7370
Authorized Official
- Name
- STEVEN BRUCE KIDMAN, M D
- Title
- PRESIDENT OWNER
- Phone
- (505) 795-7370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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