Organization
NEW MEXICO VA HEALTHCARE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI LYNN SONTAG (PHYSICIAN ASSISTANT)
(505) 265-1711
Entity
Organization
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
29 CHOLLA CREST DR, CEDAR CREST, NM 87008-9454
(505) 286-8022
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
91-PA01
NM
Other
Enumeration date
08/14/2006
Last updated
07/24/2008
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