Northern New Mexico Surgical Services PC

NPI #1740688548 in Clayton, New Mexico

Provider Information

NPI Number: 1740688548
Entity Type: Organization
Organization Name: Northern New Mexico Surgical Services PC
Primary Specialty: Surgery
Enumeration Date: Dec 9, 2014
Last Updated: Jan 22, 2015

Practice Location

Address: 300 WILSON ST
City: Clayton
State: New Mexico
ZIP Code: 88415-3304
Phone: (575) 374-0021

Authorized Official

Name: JACQUE CALLIS
Title: CREDENTIALING ASSISTANT
Phone: (575) 207-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Individual Providers

Provider Name	Specialty	City
Paul Michael Willette, M.D.	Surgery	Clayton	AI Deep Dive
Patrick J C De Baca, M.D.	Surgery	Clayton	AI Deep Dive
DR. Billy Michael Jackson, MD	Surgery	Los Alamos	AI Deep Dive
DR. Lilibeth Sanchez-Geswaldo, DO	Surgery	Albuquerque	AI Deep Dive

Organizations

Provider Name	Specialty	City
Highlands Surgical Services LLC	Surgery	Clayton	AI Deep Dive

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