Organization
SANTA FE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ELLIOT (EXECUTIVE BILLING MG)
(505) 923-4634
Entity
Organization
Contact information
Practice address
2801 RODEO RD, STE B-13, SANTA FE, NM 87507-6503
(505) 474-0120
(505) 474-4693
Mailing address
7601 JEFFERSON BLVD NE, STE 340, ALBUQUERQUE, NM 87109-4496
(505) 338-3851
(505) 338-3859
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54443
—
NM
Enumeration date
08/30/2006
Last updated
02/28/2014
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