Organization
LOS ALAMOS URGENT CARE
Active
Other names
Santa Fe Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GURULE (BILLING SPECIALIST)
(505) 474-6097
Entity
Organization
Contact information
Practice address
3600 RODEO LN, SUITE A-1, SANTA FE, NM 87507-6400
(505) 474-6097
(505) 471-4503
Mailing address
1460 TRINITY DR, SUITE A, LOS ALAMOS, NM 87544-4106
(505) 662-0768
(505) 661-2653
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46233
—
NM
Enumeration date
02/06/2009
Last updated
02/06/2009
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