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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