Pediatric Health Services Pc in Albuquerque - Adolescent Medicine

Pediatric Health Services Pc - NPI 1720109358

Pediatric Health Services Pc is a Adolescent Medicine in Albuquerque, New Mexico. Pediatric Health Services Pc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Health Services Pc is 1720109358. The last update date is 2008-03-26.

Pediatric Health Services Pc's current location address is 10110 Spain Rd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052945065 and fax number 5052982731. The mailing address for Pediatric Health Services Pc is 10110 Spain Rd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Health Services Pc
Address 10110 Spain Rd Ne, Albuquerque, New Mexico
Phone Number 5052945065
Fax Number 5052982731
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP
Authorized Official Name Sumner Leslie
Telephone Number 5052945065

NPI Number Detail

NPI Number 1720109358
Provider Enumeration Date 2007-04-02
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 10110 Spain Rd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871111965
Phone Number 5052945065
Fax Number 5052982731

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No A-569-71
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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FAQs about Pediatric Health Services Pc

What is the unique provider identifier assigned to Pediatric Health Services Pc?

The Pediatric Health Services Pc has been issued the NPI (National Provider Identifier) 1720109358 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Pediatric Health Services Pc?

The Pediatric Health Services Pc is physically situated at 10110 Spain Rd Ne, in the city of Albuquerque, state of NM, with the postal code 871111965.

What is the Pediatric Health Services Pc's specialty and taxonomy code?

The Pediatric Health Services Pc's specialty is Adolescent Medicine, and the corresponding taxonomy code is 2080A0000X.

On what date was the 1720109358 assigned to Pediatric Health Services Pc?

The Pediatric Health Services Pc was issued its 1720109358 on 2007-04-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Pediatric Health Services Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Pediatric Health Services Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-26.

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