Individual provider · Type 1 NPI
Benjamin Vidalis, MD
Neurological Surgery Physician · Santa Fe, NM
Practice location
465 Saint Michaels Dr Ste 107
Santa Fe, NM 87505-7690
Fax (505) 988-3562
Mailing address
Msc 10 5615, University Of New Mexico
Albuquerque, NM 87131-0001
Other practice locations
- Msc 10 5615, University Of New Mexico, Albuquerque, NM 87131-0001 · (505) 272-3160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Neurological Surgery Physician Primary | 207T00000X | MD2021-0303 (NM) |
Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…
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About NPI 1104245562
Benjamin Vidalis, MD's National Provider Identifier is 1104245562, issued on Apr 14, 2014. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Santa Fe, NM. The record was last updated on Sep 21, 2021.