NPI 1023379609

San Juan Regional Medical Center INC

Organisation Surgical Assistant Farmington, NM

Practice location

Address: 801 W Maple St, Farmington, NM 87401-5630
Phone: (505) 609-2258
Fax: (505) 609-2259
Mailing address: PO Box 6210, Farmington, NM 87499-6210

Authorised official

Name: J Michael Philips
Title: Cso
Phone: (505) 609-6025

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in New Mexico →

Registry record

NPI: 1023379609
Entity type: Organization
NPI issued: 31 May 2012
Record last updated: 31 May 2012

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.