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Organization

WARREN D. MCKELVY MD PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROB MCKELVY (OFFICE MANAGER)
(575) 625-1371
Entity
Organization

Contact information

Practice address
313 W COUNTRY CLUB RD, STE 13, ROSWELL, NM 88201-5804
(575) 625-1371
(575) 623-4400
Mailing address
313 W COUNTRY CLUB RD, STE 13, ROSWELL, NM 88201-5804
(575) 625-1371
(575) 623-4400

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77-217
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1875
NM
Enumeration date
08/30/2006
Last updated
10/30/2007
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