Santa Fe Trail Medical Center

NPI #1144310871 in Trinidad, Colorado

Provider Information

NPI Number: 1144310871
Entity Type: Organization
Organization Name: Santa Fe Trail Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Oct 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 111 WAVERLY AVE
City: Trinidad
State: Colorado
ZIP Code: 81082-2039
Phone: (505) 647-8366

Authorized Official

Name: BETTY WITHINGTON
Title: PERSONAL REP.
Phone: (505) 647-8366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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