Organization
SANGRE DE CRISTO HEART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY SANDOVAL MD (OWNER)
(505) 662-7008
Entity
Organization
Contact information
Practice address
3917 WEST ROAD, SUITE 101, LOS ALAMOS, NM 87544
(505) 662-7008
Mailing address
3917 WEST ROAD, SUITE 101, LOS ALAMOS, NM 87544
(505) 662-7008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
84-112
NM
Other
Enumeration date
01/20/2010
Last updated
01/31/2019
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