| NPI | 1831842251 |
|---|---|
| Doing Business As | SANGRE DE CRISTO SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JAMIE M ESTRADA Credentialing Specialist 719-595-7417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2022-01-27 |