NPI 1104378314

Desert Mountain Skin Cancer Surgery, LLC

Organisation MOHS-Micrographic Surgery Physician Santa Fe, NM

Practice location

Address: 2019 Galisteo Street Suite N-9b, Santa Fe, NM 87505
Phone: (505) 980-8738
Fax: (505) 404-8423
Mailing address: PO Box 604, Placitas, NM 87043-0604

Authorised official

Name: Diane Marie Reisinger
Title: Physician
Phone: (505) 980-8738

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence MD2011-0829 (NM)

Other Dermatology providers in New Mexico →

Registry record

NPI: 1104378314
Entity type: Organization
NPI issued: 4 Nov 2016
Record last updated: 18 Jan 2017

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.