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Benjamin Vidalis, MD
Neurological Surgery Physician in Santa Fe, New Mexico
NPI 1104245562

Benjamin Vidalis is a Neurological Surgery Physician based in Albuquerque, NM. Benjamin Vidalis practices in Santa Fe, NM and has the professional credentials of MD. The NPI Number for Benjamin Vidalis is 1104245562 and holds a License No. (New Mexico).

The current practice location address for Benjamin Vidalis is 465 Saint Michaels Dr Ste 107, Santa Fe, NM and can be reached out via phone at 505-988-3233 and via fax at 505-988-3562.

Location: 465 Saint Michaels Dr Ste 107, Santa Fe, NM, 87131-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104245562
Provider Name
Benjamin Vidalis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
465 Saint Michaels Dr Ste 107, Santa Fe, NM, 87131-0001
Phone Number
505-988-3233
Fax Number
505-988-3562
Provider Enumeration Date
04/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
465 Saint Michaels Dr Ste 107
City
Santa Fe
State
New Mexico
Zip
87505-7690
Phone Number
505-988-3233
Fax Number
505-988-3562
person
Provider Business Mailing Address Details
Address
465 Saint Michaels Dr Ste 107
City
Santa Fe
State
New Mexico
Zip
87505-7690
Phone Number
505-988-3233
Fax Number
505-988-3562
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
MD2021-0303 (New Mexico)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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