| NPI | 1043459571 |
|---|---|
| Other Name | SANTA FE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LISA GURULE Billing Specialist 505-474-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |