Organization
DR. TOM CHILD AND ADOLESCENT MEDICINE
Active
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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