Organization
SAN MIGUEL HOSPITAL CORPORATION
Active
Organization
SAN MIGUEL HOSPITAL CORPORATION
Active
Other names
Alta Vista Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4808
(505) 426-3500
Mailing address
104 LEGION DR, LAS VEGAS, NM 87701-4808
(505) 426-3500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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