Individual
DR. PAGE POMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016022825
MO
208000000X
Pediatrics Physician
94-09130
KS
208000000X
Pediatrics Physician
Primary
MD2019-0489
NM
Other
Enumeration date
03/25/2016
Last updated
08/26/2019
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