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Organization

SAN JUAN REGIONAL MEDICAL CENTER, INC.

Active
Other names
SJHP PHYSIATRY, SJR Interventional Spine
Organization subpart
No

Provider details

NPI number
Authorized official
KIM R HIPSHER-BYRD (CBO DIRECTOR)
(505) 609-2258
Entity
Organization

Contact information

Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401-4504
(505) 609-6830
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician
208VP0014X
Interventional Pain Medicine Physician

Other

Enumeration date
07/17/2006
Last updated
07/16/2025
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