Northern New Mexicoorthopaedic Center,Pc in Espanola - Surgical

Northern New Mexicoorthopaedic Center,Pc - NPI 1043329139

Northern New Mexicoorthopaedic Center,Pc is a Surgical in Espanola, New Mexico. Northern New Mexicoorthopaedic Center,Pc practices all healthcare services and medical treatments related to Surgical. The NPI Number for Northern New Mexicoorthopaedic Center,Pc is 1043329139. The last update date is 2020-08-22.

Northern New Mexicoorthopaedic Center,Pc's current location address is 1009 Spruce St, Espanola, New Mexico. You can contact this provider via phone number 5057474144 and fax number 5057473213. The mailing address for Northern New Mexicoorthopaedic Center,Pc is 1009 Spruce St, Espanola, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northern New Mexicoorthopaedic Center,Pc
Address 1009 Spruce St, Espanola, New Mexico
Phone Number 5057474144
Fax Number 5057473213
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Auge K Wayne
Credentials M.D.
Telephone Number 5057474144

NPI Number Detail

NPI Number 1043329139
Provider Enumeration Date 2006-08-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1009 Spruce St
City Espanola
State New Mexico (NM)
Post Code 875322740
Phone Number 5057474144
Fax Number 5057473213

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
S6078 NM --

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FAQs about Northern New Mexicoorthopaedic Center,Pc

What is the unique 10-digit identification code assigned to Northern New Mexicoorthopaedic Center,Pc by the Centers for Medicare & Medicaid Services?

The Northern New Mexicoorthopaedic Center,Pc has been issued the NPI (National Provider Identifier) 1043329139, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Northern New Mexicoorthopaedic Center,Pc's physical address?

The Northern New Mexicoorthopaedic Center,Pc is physically located at 1009 Spruce St, in the city of Espanola, NM, with the postal code 875322740.

What is Northern New Mexicoorthopaedic Center,Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Northern New Mexicoorthopaedic Center,Pc is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.

On what date did the Northern New Mexicoorthopaedic Center,Pc receive its 1043329139 assignment from the Centers for Medicare & Medicaid Services?

The Northern New Mexicoorthopaedic Center,Pc was assigned its 1043329139 by the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the information related to Northern New Mexicoorthopaedic Center,Pc most recently updated or refreshed?

The details pertaining to the Northern New Mexicoorthopaedic Center,Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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