San Miguel Physician Services LLC

NPI #1164756862 in Las Vegas, New Mexico

Provider Information

NPI Number: 1164756862
Entity Type: Organization
Organization Name: San Miguel Physician Services LLC
Primary Specialty: Hospitalist
Enumeration Date: Sep 28, 2009
Last Updated: Sep 28, 2009

Practice Location

Address: 104 LEGION DR
City: Las Vegas
State: New Mexico
ZIP Code: 87701-4804
Phone: (505) 426-3500

Authorized Official

Name: DR. WILLIAM C. SCHUMACHER, MD
Title: CEO
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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