Organization
ST VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Medical Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE WADE (COO)
(928) 607-0495
Entity
Organization
Contact information
Practice address
433 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 988-1232
(505) 984-1603
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/23/2019
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