Individual
DR. JUDITH E. PENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4207 SAN ISIDRO ST NW, ALBUQUERQUE, NM 87107-2829
(505) 341-1958
(505) 341-1958
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
90-271
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27771
—
NM
Enumeration date
02/06/2007
Last updated
10/07/2024
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