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Organization

SAN JUAN REGIONAL MEDICAL CENTER INC

Active
Other names
SJR GENERAL SURGEONS
Organization subpart
No

Provider details

NPI number
Authorized official
KIM BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization

Contact information

Practice address
735 W ANIMAS ST, FARMINGTON, NM 87401-5616
(505) 609-6300
(505) 609-6749
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/14/2010
Last updated
07/16/2025
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