Organization
ST. VINCENT HOSPITAL
Active
Other names
CSV Neurology Diagnostic Services, CHRISTUS St. Vincent Neurology Diagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN MURRAY (CHIEF FINANCIAL OFFICER)
(505) 913-5271
Entity
Organization
Contact information
Practice address
1631 HOSPITAL DR STE 112, SANTA FE, NM 87505-4728
(505) 913-4780
(505) 913-6780
Mailing address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 913-5227
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
11/11/2021
Last updated
11/11/2021
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