Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Other names
SJR Wound Treatment Center, SJRMC Wound Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization
Contact information
Practice address
4820 E MAIN ST, FARMINGTON, NM 87402-8660
(505) 609-6610
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
07/16/2025
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