Organization
PHOENIX PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA CHAVEZ FNP (OWNER)
(505) 247-1471
Entity
Organization
Contact information
Practice address
4233 MONTGOMERY BLVD NE STE 140, ALBUQUERQUE, NM 87109-6707
(505) 247-1471
Mailing address
4233 MONTGOMERY BLVD NE STE 140, ALBUQUERQUE, NM 87109-6707
(505) 247-1471
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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