Organization
MERCY REGIONAL MEDICAL CENTER OF DURANGO
Active
Other names
Mercy Diagnostic Services- Aztec
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK A DIGNUM (CEO/PRESIDENT)
(970) 247-4311
Entity
Organization
Contact information
Practice address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(505) 334-5640
(505) 334-5649
Mailing address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
1628.1
NM
291U00000X
Clinical Medical Laboratory
Primary
1628.1
NM
Other
Enumeration date
07/23/2010
Last updated
07/27/2010
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