Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Family Medicine Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALEX VALDEZ (CEO/PRESIDENT)
(505) 913-5201
Entity
Organization
Contact information
Practice address
435 SAINT MICHAELS DR, SUITE B-104, SANTA FE, NM 87505-7672
(123) 456-7890
Mailing address
435 SAINT MICHAELS DR, SUITE B-104, SANTA FE, NM 87505-7672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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