Organization
SCENIC DRIVE INPATIENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
2669 SCENIC DR, ALAMOGORDO, NM 88310-8700
(469) 401-2386
Mailing address
PO BOX 98571, LAS VEGAS, NV 89193-8571
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/28/2010
Last updated
12/21/2020
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