Organization
CENTER FOR PRENATAL DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE HEDSTROM MD (OWNER)
(505) 883-5657
Entity
Organization
Contact information
Practice address
101 HOSPITAL LOOP NE, STE. 106, ALBUQUERQUE, NM 87109-2129
(505) 883-5657
(505) 883-5322
Mailing address
101 HOSPITAL LOOP NE, STE. 106, ALBUQUERQUE, NM 87109-2129
(505) 883-5657
(505) 883-5322
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
96-270
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96-270
LICENSE
NM
Enumeration date
01/03/2007
Last updated
08/22/2020
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