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Individual

EDWARD L CHILDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3825 EUBANK BLVD NE, STE C, ALBUQUERQUE, NM 87111-3575
(505) 298-8020
(505) 292-5006
Mailing address
3825 EUBANK BLVD NE, STE C, ALBUQUERQUE, NM 87111-3575
(505) 298-8020
(505) 292-5006

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A65376
NM

Other

Enumeration date
09/01/2005
Last updated
12/16/2010
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