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Contact Information

NORTHERN NEW MEXICO SURGERY
3917 WEST ROAD SUITE #125
LOS ALAMOS, NM87544
 Phone: 505-661-3030
 Fax: 505-662-9024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NORTHERN NEW MEXICO SURGERY

NPI Number 1649374380
LBN Legal business name NORTHERN NEW MEXICO SURGERY
Authorized official RODNEY BARKER - (SURGEON OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM Medicaid 14874555
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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