Physicians Plaza Surgery Center, LLC
NPI #1619040268 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1619040268
- Entity Type
- Organization
- Organization Name
- Physicians Plaza Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 15, 2006
- Last Updated
- Jun 2, 2008
Practice Location
- Address
- 1631 HOSPITAL DR STE 100
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4728
- Phone
- (505) 955-8420
Authorized Official
- Name
- DR. PAUL S FULLERTON, D.O.
- Title
- PRESIDENT
- Phone
- (505) 955-8420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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