Organization · NPI-2

Christus St. Vincent Medical Group

Family Medicine · Santa Fe, NM

NPI number1497295844

StatusActive

Last updated in NPPESMar 6, 2017

Details

NPI: 1497295844
Entity type: Organization (NPI-2)
Legal business name: Christus St. Vincent Medical Group
Organization subpart: No
Enumeration date: Mar 6, 2017
Last updated: Mar 6, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207R00000X	Internal Medicine	–	–
207T00000X	Neurological Surgery	–	–
207V00000X	Obstetrics & Gynecology	–	–
207X00000X	Orthopaedic Surgery	–	–
208000000X	Pediatrics	–	–
208600000X	Surgery	–	–
208D00000X	General Practice	–	–
208M00000X	Hospitalist	–	–

Practice location

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone 505-913-5099

Mailing address

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone 505-913-5099

Authorized official

Sunil Desai
President
5059135099

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