Organization
PINON PERINATAL
Active
Parent organization
PINON PERINATAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINON PERINATAL
Authorized official
MS. PEG M HURLEY (PRACTICE MANAGER)
(505) 263-8808
Entity
Organization
Contact information
Practice address
3741 RUTLEDGE NE, ALBUQUERQUE, NM 87109
(505) 798-9300
(505) 798-0808
Mailing address
3741 RUTLEDGE NE, ALBUQUERQUE, NM 87109
(505) 798-9300
(505) 798-0808
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6491
—
NM
Enumeration date
01/17/2014
Last updated
01/17/2014
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