Northern New Mexico Surgery in Los Alamos - Surgery

Northern New Mexico Surgery - NPI 1649374380

Northern New Mexico Surgery is a Surgery in Los Alamos, New Mexico. Northern New Mexico Surgery practices all healthcare services and medical treatments related to Surgery. The NPI Number for Northern New Mexico Surgery is 1649374380. The last update date is 2020-08-22.

Northern New Mexico Surgery's current location address is 3917 West Road Suite #125, Los Alamos, New Mexico. You can contact this provider via phone number 5056613030 and fax number 5056629024. The mailing address for Northern New Mexico Surgery is 3917 West Road Suite #125, Los Alamos, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern New Mexico Surgery
Address 3917 West Road Suite #125, Los Alamos, New Mexico
Phone Number 5056613030
Fax Number 5056629024
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SURGEON OW
Authorized Official Name Barker J Rodney
Credentials MD
Telephone Number 5056613030

NPI Number Detail

NPI Number 1649374380
Provider Enumeration Date 2006-09-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3917 West Road Suite #125
City Los Alamos
State New Mexico (NM)
Post Code 87544
Phone Number 5056613030
Fax Number 5056629024

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14874555 NM --

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FAQs about Northern New Mexico Surgery

What is the unique identification code assigned to Northern New Mexico Surgery by the Centers for Medicare & Medicaid Services?

The Northern New Mexico Surgery has been issued the NPI (National Provider Identifier) 1649374380. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Northern New Mexico Surgery is physically located?

The Northern New Mexico Surgery is situated at the following address: 3917 West Road Suite #125, Los Alamos, NM 87544.

What is the area of specialization for Northern New Mexico Surgery, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Northern New Mexico Surgery is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

When was the Northern New Mexico Surgery's 1649374380 issued?

The Northern New Mexico Surgery's 1649374380 was issued on 2006-09-12.

As of what date were the details related to Northern New Mexico Surgery most recently updated or revised?

The information pertaining to Northern New Mexico Surgery, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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