Organization
ST. VINCENT HOSPITAL
Active
Other names
CHRISTUS St. Vincent Dermatology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN MONTOYA (CEO)
(505) 913-5201
Entity
Organization
Contact information
Practice address
465 SAINT MICHAELS DR STE 220, SANTA FE, NM 87505-7670
(505) 913-3380
(505) 913-3389
Mailing address
465 SAINT MICHAELS DR STE 220, SANTA FE, NM 87505-8602
(505) 913-3380
(505) 913-3389
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3635
CSV DEPT CODE
—
Enumeration date
02/19/2018
Last updated
06/11/2020
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