Organization
ST. VINCENT HOSPITAL
Active
Other names
St. Vincent Pediatric Hospitalist Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TASSIN (PRESIDENT / CEO)
(505) 913-5202
Entity
Organization
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-6130
(505) 913-5408
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-6130
(505) 913-5408
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
NM
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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