| NPI | 1629171657 |
|---|---|
| Doing Business As | SANDIA PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | STEPEHN C PETROVICH SVP 615-296-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |