Organization · Type 2 NPI
San Juan Surgical, LLC
Vascular Surgery Physician · Farmington, NM
NPI number
1508176850
Active
Practice location
622 W Maple St Ste C
Farmington, NM 87401-6589
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| Surgery Physician | 208600000X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1508176850
San Juan Surgical, LLC's National Provider Identifier is 1508176850, issued on Oct 19, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Farmington, NM. The record was last updated on Oct 19, 2010.