Healthcare Provider Details

I. General information

NPI: 1689162513
Provider Name (Legal Business Name): RURAL SURGICAL ASSOCIATES OF DEMING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S 8TH ST
DEMING NM
88030-4037
US

IV. Provider business mailing address

12687 W CEDAR DR STE 200
LAKEWOOD CO
80228-2014
US

V. Phone/Fax

Practice location:
  • Phone: 575-543-7201
  • Fax:
Mailing address:
  • Phone: 303-468-1395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT STEVEN SEIGEL
Title or Position: OWNER
Credential: MD
Phone: 303-902-5822