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Organization

JOURNEY PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALWYN KOIL M.D. (OWNER)
(505) 463-6618
Entity
Organization

Contact information

Practice address
8308 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110
(505) 883-9570
(505) 883-4163
Mailing address
12005 SAN ANTONIO DR NE, ALBUQUERQUE, NM 87122-1096
(505) 463-6618

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2003-0567
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
85684392
NM
Enumeration date
09/16/2015
Last updated
09/25/2025
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