Organization
DR JEDD RANEY PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH JEDD RANEY DO (OWNER)
(575) 887-0530
Entity
Organization
Contact information
Practice address
2402 W PIERCE ST STE 3C, CARLSBAD, NM 88220-3564
(575) 887-0530
(575) 885-6309
Mailing address
2402 W PIERCE ST STE 3C, CARLSBAD, NM 88220-3564
(575) 887-0530
(575) 885-6309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12138720
—
NM
01
—
1265660633
NPI
NM
Enumeration date
08/12/2020
Last updated
08/12/2020
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