Organization
NEW MEXICO PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAS R. SKARDIS DOM (OWNER)
(505) 670-5060
Entity
Organization
Contact information
Practice address
460 SAINT MICHAELS DR, BUILDING 200, SANTA FE, NM 87505-7619
(505) 988-5551
Mailing address
460 SAINT MICHAELS DR, BUILDING 200, SANTA FE, NM 87505-7619
(505) 988-5551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
192RX2
NM
208VP0014X
Interventional Pain Medicine Physician
Primary
159RX2
NM
208VP0014X
Interventional Pain Medicine Physician
192RX2
NM
Other
Enumeration date
12/28/2008
Last updated
12/28/2008
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