Individual
JANET ELEANOR SAMORODIN-MCILWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3410 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106
(505) 265-7817
(505) 266-1543
Mailing address
3410 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106
(505) 265-7817
(505) 266-1543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A-1430-07
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84774525
—
NM
Enumeration date
02/23/2007
Last updated
06/15/2011
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