Organization
SAN MIGUEL EMERGENCY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCHUMACHER MD (CEO)
(800) 893-9698
Entity
Organization
Contact information
Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03188337
—
NM
Enumeration date
06/04/2006
Last updated
10/09/2007
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