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Organization
SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC
Active
Organization
SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC
Active
Other names
CENTER FOR AMBULATORY SURGERY AND ENDOSCOPY OF SOUTHEASTERN NEW MEXICO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURI J ROSE MBA, CASC (ADMINISTRATOR)
(505) 627-7000
Entity
Organization
Contact information
Practice address
113 E 19TH ST, ROSWELL, NM 88201-5151
(505) 627-7000
(505) 627-7007
Mailing address
113 E 19TH ST, ROSWELL, NM 88201-5151
(505) 627-7000
(505) 627-7007
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6786
NM
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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