Organization
LOVELACE SANDIA HEALTH SYSTEM
Active
Other names
Sandia Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
STEPEHN 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 25266, ALBUQUERQUE, NM 87125-0266
(505) 262-7026
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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