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Organization
ST. VINCENT HOSPITAL
Active
Organization
ST. VINCENT HOSPITAL
Active
Other names
St. Vincent Hospitalists Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TASSIN (PRESIDENT CEO)
(505) 913-5202
Entity
Organization
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 989-6130
(505) 913-5408
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2086S0127X
Trauma Surgery Physician
—
NULL
2086S0127X
Trauma Surgery Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
11/24/2014
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