Sandia Mountain Medical, Inc.
NPI #1497280143 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1497280143
- Entity Type
- Organization
- Organization Name
- Sandia Mountain Medical, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SANDIA MOUNTAIN MEDICAL, INC
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- May 1, 2017
- Last Updated
- May 12, 2017
Practice Location
- Address
- 104 QUAIL TRL UNIT B
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-7185
- Phone
- (505) 281-5180
Authorized Official
- Name
- JAMES MARC BEVERLY
- Title
- COO/ OWNER
- Phone
- (505) 281-5180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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