Santa Fe Medical Group, LLC
NPI #1528385127 in Taos, New Mexico
Provider Information
- NPI Number
- 1528385127
- Entity Type
- Organization
- Organization Name
- Santa Fe Medical Group, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Apr 23, 2010
- Last Updated
- Apr 23, 2010
Practice Location
- Address
- 330 UNIT C
- Address 2
- PASEO DEL PUEBLO SUR
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571
- Phone
- (575) 758-1414
Authorized Official
- Name
- LISA GURULE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (505) 474-6097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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