Organization
PEDIATRIC HEALTH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE SUMNER (VP)
(505) 294-5065
Entity
Organization
Contact information
Practice address
10110 SPAIN RD NE, ALBUQUERQUE, NM 87111-1965
(505) 294-5065
(505) 298-2731
Mailing address
10110 SPAIN RD NE, ALBUQUERQUE, NM 87111-1965
(505) 294-5065
(505) 298-2731
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A-569-71
NM
Other
Enumeration date
04/02/2007
Last updated
03/26/2008
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