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Organization

SAN MIGUEL HOSPITAL CORPORATION

Active
Other names
Las Vegas Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization

Contact information

Practice address
2515 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4972
(505) 425-2662
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-3722

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
05/04/2016
Last updated
07/07/2023
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