Organization
PUEBLO ANESTHESIA & PAIN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E EVANS MD (PRESIDENT)
(505) 670-4339
Entity
Organization
Contact information
Practice address
3917 WEST RD, LOS ALAMOS, NM 87544-2275
(573) 686-5550
Mailing address
12 PAJARITO LOOP, SANTA FE, NM 87506-7217
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
NM
367500000X
Certified Registered Nurse Anesthetist
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50333259
—
NM
01
—
613133000
DOL
NM
01
—
NM007F15
BCBS
NM
Enumeration date
05/15/2007
Last updated
07/25/2025
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