Organization
AHS LOVELACE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C PETROVICH (SVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
5400 GIBSON BLVD SE, FLOOR 2, ELEVATOR B, ALBUQUERQUE, NM 87108-4729
(505) 262-7174
(505) 262-3562
Mailing address
1 BURTON HILLS BLVD, SUITE 250, NASHVILLE, TN 37215-6104
(615) 296-3000
(615) 296-6011
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
APPLIED FOR
NM
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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