Highlands Surgical Services LLC

NPI #1164616892 in Clayton, New Mexico

Provider Information

NPI Number: 1164616892
Entity Type: Organization
Organization Name: Highlands Surgical Services LLC
Primary Specialty: Surgery
Enumeration Date: Sep 6, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 315 N 3RD AVE
City: Clayton
State: New Mexico
ZIP Code: 88415-3300
Phone: (505) 374-2521

Authorized Official

Name: SITARAMAKRISHNA KOTHALANKA, MD
Title: OWNER
Phone: (505) 374-2521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Paul Michael Willette, M.D.	Surgery	Clayton	AI Deep Dive
Patrick J C De Baca, M.D.	Surgery	Clayton	AI Deep Dive
DR. Billy Michael Jackson, MD	Surgery	Los Alamos	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Northern New Mexico Surgical Services PC	Surgery	Clayton	AI Deep Dive

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