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Organization

PRESBYTERIAN HEALTHCARE SERVICES

Active
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Organization

PRESBYTERIAN HEALTHCARE SERVICES

Active
Other names
PMG Pan American Urogynecology
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY T POLAND (MANAGER PROVIDER ENROLLMENT)
(505) 923-5355
Entity
Organization

Contact information

Practice address
6100 PAN AMERICAN EAST FWY NE STE 360, ALBUQUERQUE, NM 87109-3460
(505) 823-8686
(505) 823-8699
Mailing address
PO BOX 26666, SUITE 455, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary

Other

Enumeration date
06/29/2026
Last updated
06/29/2026
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