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Organization

HIGH DESERT PEDICATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IBUKI SUGA MD (OWNER/ADMINISTRATOR)
(505) 255-1866
Entity
Organization

Contact information

Practice address
8650 ALMEDA BOULEVARD, NE, UNIT 101 E, ALBUQUERQUE, NM 87122
(505) 255-1866
(505) 255-1852
Mailing address
8650 ALMEDA BOULEVARD, NE, UNIT 101 E, ALBUQUERQUE, NM 87122
(505) 255-1866
(505) 255-1852

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/23/2008
Last updated
12/23/2008
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