# UNMHSC DEPARTMENT OF PEDIATRICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689778789
- **Authorized official:** JAMES RUSSELL DILTS (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (505) 272-4443

## Contact information

- **Practice address:** 2211 LOMAS NE, ALBUQUERQUE, NM 87131-0001
- **Practice address phone:** (505) 272-3617
- **Practice address fax:** (505) 272-8699
- **Mailing address:** 6465 TAYLOR MILL RD, INDEPENDENCE, KY 41051-9392
- **Mailing address phone:** (859) 363-4952
- **Mailing address fax:** (859) 363-4984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NM | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 08/22/2020