Organization
HYPERBARIC MEDICAL CENTER OF NEW MEXICO INC
Active
Other names
hmcnm
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL FIVERSON (OFFICE MANAGER)
(505) 955-8560
Entity
Organization
Contact information
Practice address
404 BRUNN SCHOOL RD, STE D E, SANTA FE, NM 87505-1102
(505) 955-8560
(505) 989-1587
Mailing address
404 BRUNN SCHOOL RD, STE D E, SANTA FE, NM 87505-1102
(505) 955-8560
(505) 989-1587
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
97382
NM
208000000X
Pediatrics Physician
97382
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44875827
—
NM
Enumeration date
06/08/2007
Last updated
10/05/2007
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