Organization
NEW MEXICO CHILDRENS KIDNEY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BENJAMIN MILLER III M.D. (PEDIATRIC NEPHROLOGY)
(505) 797-8676
Entity
Organization
Contact information
Practice address
4343 PAN AMERICAN FWY NE, #234, ALBUQUERQUE, NM 87107-6834
(505) 842-5240
(505) 242-4403
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 842-5240
(505) 242-4403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
98-339
NM
Other
Enumeration date
01/29/2009
Last updated
10/06/2015
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