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Organization
TWILIGHT PHYSICIAN GROUP
Active
Organization
TWILIGHT PHYSICIAN GROUP
Active
Parent organization
THE WILLOW FOUNDATION INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WILLOW FOUNDATION INC.
Authorized official
DENISE IRWIN-PODLESNY RN (FOUNDER)
(505) 512-1880
Entity
Organization
Contact information
Practice address
4600 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2106
(505) 532-1020
(505) 494-1515
Mailing address
4600 MCLEOD RD NE, ALBUQUERQUE, NM 87109-2106
(505) 532-1020
(505) 494-1515
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
02/13/2023
Last updated
08/13/2026
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