Healthcare Provider Details

I. General information

NPI: 1821292905
Provider Name (Legal Business Name): SANTA FE ORTHOPAEDIC ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 HOSPITAL DR STE A
SANTA FE NM
87505-4772
US

IV. Provider business mailing address

1630 HOSPITAL DR STE A
SANTA FE NM
87505-4772
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-5014
  • Fax: 505-982-2687
Mailing address:
  • Phone: 505-982-5014
  • Fax: 505-982-2687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANT ALLEN BAIR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 505-982-5014