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Organization

VISTA SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL DAVID COONEY (M.D.)
(505) 522-4940
Entity
Organization

Contact information

Practice address
4351 E LOHMAN AVE, SUITE 402, LAS CRUCES, NM 88011-8259
(505) 522-4940
(505) 522-4932
Mailing address
4351 E LOHMAN AVE, SUITE 402, LAS CRUCES, NM 88011-8259
(505) 522-4940
(505) 522-4932

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007-0561
NM

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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