Santo Domingo Tribe
NPI #1679766489 in Santo Domingo Pueblo, New Mexico
Provider Information
- NPI Number
- 1679766489
- Entity Type
- Organization
- Organization Name
- Santo Domingo Tribe
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Jul 31, 2009
Practice Location
- Address
- #1 TESUQUE ST.
- Address 2
- EMS HEADQUARTERS
- State
- New Mexico
- ZIP Code
- 87052
- Phone
- (505) 465-2214
Authorized Official
- Name
- MR. MATT WILLIAMS
- Title
- EMS DIRECTOR
- Phone
- (505) 465-2214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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