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Organization
SANTA FE PAIN & SPINE SPECIALISTS PC
Active
Organization
SANTA FE PAIN & SPINE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ACOSTA (PRACTICE ADMINISTRATOR)
(505) 291-2770
Entity
Organization
Contact information
Practice address
4100 HIGH RESORT BLVD SE, SUITE 215, RIO RANCHO, NM 87124-5901
(505) 191-2770
(505) 395-7551
Mailing address
PO BOX 65949, ALBUQUERQUE, NM 87193-5949
(505) 191-2770
(505) 395-7551
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0603127
NM
Other
Enumeration date
06/30/2006
Last updated
07/25/2016
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