Organization
DR. TOM CHILD AND ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVEL ELIZABETH HARRISON PHD (OFFICE MANAGER)
(505) 412-3367
Entity
Organization
Contact information
Practice address
LOS ALAMOS MEDICAL CENTER, 3917 WEST RD, SUITE M250, LOS ALAMOS, NM 87544
(505) 412-3367
(505) 662-9200
Mailing address
199 SAN ILDEFONSO RD, LOS ALAMOS, NM 87544-2735
(505) 412-3367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
93244
NM
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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