NPI 1457539322
State of New Mexico
Practice location
- Address
- 2025 S Pacheco St, Santa Fe, NM 87505-3991
- Phone
- (505) 827-3100
- Mailing address
- PO Box 2348, Santa Fe, NM 87504-2348
Authorised official
- Name
- Robert Stevens
- Title
- Chief
- Phone
- (505) 827-6207
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1457539322
- Entity type
- Organization
- NPI issued
- 4 Feb 2008
- Record last updated
- 4 Feb 2008
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.