NPI 1003296534

San Juan Regional Medical Center INC

Organisation Urology Physician Farmington, NM

Practice location

Address: 2700 Farmington Ave Building E, Suite 1, Farmington, NM 87401-4559
Phone: (505) 609-6300
Fax: (505) 609-6301
Mailing address: PO Box 844088, Dallas, TX 75284-4088

Authorised official

Name: Kim Byrd
Title: Administrative Director of Reimburs
Phone: (505) 609-2258

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in New Mexico →

Registry record

NPI: 1003296534
Entity type: Organization
NPI issued: 29 May 2015
Record last updated: 16 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.