Organization
UNMHSC DEPARTMENT OF PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RUSSELL DILTS (CHIEF ADMINISTRATIVE OFFICER)
(505) 272-4443
Entity
Organization
Contact information
Practice address
2211 LOMAS NE, ALBUQUERQUE, NM 87131-0001
(505) 272-3617
(505) 272-8699
Mailing address
6465 TAYLOR MILL RD, INDEPENDENCE, KY 41051-9392
(859) 363-4952
(859) 363-4984
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NM
Other
Enumeration date
09/11/2006
Last updated
08/22/2020
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