Organization
SANTA FE ANESTHESIA SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C MULLICAN M.D. (PRESIDENT)
(505) 983-3275
Entity
Organization
Contact information
Practice address
1631 HOSPITAL DR, SUITE 110, SANTA FE, NM 87505-4728
(505) 983-3275
(505) 983-4812
Mailing address
PO BOX 14423, ALBUQUERQUE, NM 87191-4423
(505) 323-7200
(505) 323-7206
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0603128
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43555012
—
NM
Enumeration date
06/30/2006
Last updated
08/22/2020
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