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Contact Information

SAN JUAN SURGICAL, LLC
622 W MAPLE ST STE C
FARMINGTON, NM87401-6589
 Phone: 505-327-9694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for SAN JUAN SURGICAL, LLC

NPI Number 1508176850
LBN Legal business name SAN JUAN SURGICAL, LLC
Authorized official AMY ROBISON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2010
Last updated 10/19/2010 - About 16 years ago
Identifiers n/a
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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