Organization
ASCENT MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MATHWICH SR. MD (CHIEF MEDICAL OFFICER)
(303) 579-5466
Entity
Organization
Contact information
Practice address
2055 S PACHECO ST STE 600, SANTA FE, NM 87505-3995
(505) 930-5065
Mailing address
2055 S PACHECO ST STE 600, SANTA FE, NM 87505-3995
(303) 579-5466
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
11/20/2023
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