Organization
SPINE SPORTS& PAIN MEDICINE STEVEN KIDMAN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BRUCE KIDMAN M D (PRESIDENT OWNER)
(505) 795-7370
Entity
Organization
Contact information
Practice address
11 CALLE MEDICO, SUITE 2, SANTA FE, NM 87505-4705
(505) 795-7370
(505) 795-7371
Mailing address
129 LA PLACITA CIRSTEVEN KIDMAN MD, SANTA FE, NM 87505
(505) 795-7370
(505) 795-7371
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD2006-0557
NM
Other
Enumeration date
10/02/2006
Last updated
07/07/2014
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