# NEW MEXICO SURGICAL ASSISTING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508161936
- **Authorized official:** VALERIANE M WILSON (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (505) 991-5713

## Contact information

- **Practice address:** 1505 KACHINA RIDGE DR, SANTA FE, NM 87507-5172
- **Practice address phone:** (505) 463-5645
- **Practice address fax:** (888) 816-6104
- **Mailing address:** PO BOX 23974, SANTA FE, NM 87502-3974
- **Mailing address phone:** (505) 463-5645
- **Mailing address fax:** (888) 816-6104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA2005-0035 | NM | Yes |

## Other

- **Enumeration date:** 01/15/2011
- **Last updated:** 01/15/2011