Organization
LOVELACE SANDIA HEALTH SYSTEM
Active
Other names
Lovelace Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(505) 262-7026
(505) 727-9276
Mailing address
PO BOX 26102, ALBUQUERQUE, NM 87125-6102
(505) 262-7026
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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