Individual
DR. ANN K CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
833 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 287-6500
Mailing address
833 E ROOSEVELT AVE, GRANTS, NM 87020-2115
(505) 287-6500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036151567
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905524
ABOG
—
01
—
NM2010-0079
MEDICAL LICENSE
NM
Enumeration date
02/17/2006
Last updated
01/31/2025
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