Organization
PEDIATRIC ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN ELAINE SEELINGER M.D. (OWNER)
(505) 265-7817
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48561
—
NM
Enumeration date
11/01/2006
Last updated
06/15/2011
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