Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Other names
Laguna-Acoma Teen Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUG SMITH (EXECUTIVE VICE PRESIDENT)
(505) 982-5565
Entity
Organization
Contact information
Practice address
282 CASA BLANCA RD, CASA BLANCA, NM 87007
(505) 982-5565
Mailing address
PO BOX 2267, SANTA FE, NM 87504-2267
(505) 982-5565
(505) 992-4990
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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