Organization
SAN JUAN REGIONAL MEDICAL CENTER INC
Active
Other names
San Juan Health Partners Specialty Services, San Juan Health Partners Family and Specialty Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KIM R HIPSHER-BYRD (ADMINISTRATIVE DIRECTOR OF REIMBURS)
(505) 609-2258
Entity
Organization
Contact information
Practice address
1970 E 3RD AVE STE 1, DURANGO, CO 81301-5049
(970) 444-0260
(970) 444-0264
Mailing address
PO BOX 844088, DALLAS, TX 75284-4088
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
05/20/2019
Last updated
07/02/2025
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