Organization
TAOS CLINIC FOR CHILDREN AND YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICK SCHLARBAUM (OFFICE MANAGER)
(575) 758-8651
Entity
Organization
Contact information
Practice address
1393 WEIMER RD, TAOS, NM 87571-6253
(575) 758-8651
(575) 758-7811
Mailing address
1393 WEIMER ROAD, TAOS, NM 87571-6253
(575) 758-8651
(575) 758-7811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/01/2006
Last updated
05/13/2011
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