OrganizationActive
San Juan Regional Medical Center Inc
NPI 1003296534 · Urology Physician · Farmington, NM
Provider details
- NPI number
- 1003296534
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kim Byrd, Administrative Director of Reimburs
Practice location
2700 Farmington Ave
Building E, Suite 1
Farmington, NM 87401-4559
Phone: (505) 609-6300
Fax: (505) 609-6301
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.