Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Other names
SAN JUAN REGIONAL ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2258
(505) 609-2259
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NM
Other
Enumeration date
08/22/2011
Last updated
07/16/2025
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