Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Other names
SJRMC Surgery 1st Assists
Organization subpart
No
Provider details
NPI number
Authorized official
J MICHAEL PHILIPS (CSO)
(505) 609-6025
Entity
Organization
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2258
(505) 609-2259
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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