Desert Mountain Skin Cancer Surgery, Llc
LBN: Desert Mountain Skin Cancer Surgery, Llc
Desert Mountain Skin Cancer Surgery, Llc is an health care organization with primary practice located at 2019 Galisteo Street Suite N-9B, Santa Fe NM 87505. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty.
Desert Mountain Skin Cancer Surgery, Llc can be contacted via phone (505) 980-8738, or through Reisinger, Diane Marie via phone (505) 980-8738.
Contact Information
Primary practice address
2019 Galisteo Street Suite N-9B
Santa Fe NM 87505
Phone: (505) 980-8738
Fax: (505) 404-8423
Website:
Authorized official contact:
Name: Reisinger, Diane Marie Doctor of Medicine (MD)
Phone: (505) 980-8738
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | MD2011-0829 | New Mexico |
Profile Details
| NPI number | 1104378314 |
|---|---|
| LBN Legal business name | Desert Mountain Skin Cancer Surgery, Llc |
| DBA Doing business as | |
| Authorized official | Reisinger, Diane Marie Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2016 |
| Last updated | Jan 18th, 2017 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104378314 | NPPES |
| New Mexico | MEDICAID | 1003975699 |
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