Organization · NPI-2
New Mexico Pac Services PC
Hospitalist · Santa Fe, NM
NPI number1801325634
StatusActive
Last updated in NPPESJun 6, 2017
Details
- NPI
- 1801325634
- Entity type
- Organization (NPI-2)
- Legal business name
- New Mexico Pac Services PC
- Organization subpart
- No
- Enumeration date
- Jun 6, 2017
- Last updated
- Jun 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
Practice location
635 Harkle RdSanta Fe, NM 87505-4751
Phone 865-693-1000
Mailing address
265 Brookview Centre Way Ste 400Knoxville, TN 37919-4052
Phone 865-693-1000
Authorized official
Rohit Uppal
President
8656931000
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