Organization
EMERGENCY SPECIALTY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIAH H CHILD MD (OWNER)
(505) 603-5324
Entity
Organization
Contact information
Practice address
1650 HOSPITAL DR STE 500, SANTA FE, NM 87505-4794
(505) 670-1976
(505) 983-7212
Mailing address
1650 HOSPITAL DR STE 500, SANTA FE, NM 87505-4794
(505) 670-1976
(505) 983-7212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41588525
—
NM
Enumeration date
07/18/2022
Last updated
06/03/2024
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