Edgewood Pediatric Clinic L.l.c.
Pediatrics
Edgewood Pediatric Clinic L.l.c. is a Edgewood, New Mexico based Pediatric center with medical specialization in
General Pediatrics.
It is located at
2 Eunice Ct Bldg B, Edgewood, New Mexico - 87015-9108. They can be contacted on phone at
505-281-4620 and fax number 505-281-0397.
NPI number (Unique professional ID) for Edgewood Pediatric Clinic L.l.c. is
1699905927 which was assigned by NPPES on 21 Jul, 2009 and it was last updated on 30 May, 2012.
Edgewood Pediatric Clinic L.l.c. license number is
2003-0092 for Pediatrics (208000000X) in New Mexico.
Edgewood Pediatric Clinic L.l.c. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Edgewood Pediatric Clinic L.l.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Edgewood Pediatric Clinic L.l.c. |
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Business Address:
Edgewood Pediatric Clinic L.l.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2 Eunice Ct Bldg B
Edgewood, NM, 87015-9108
United States |
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| Phone Number : | 505-281-4620 |
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| Fax Number : | 505-281-0397 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699905927 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 21 Jul, 2009 |
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| Last Updated On : | 30 May, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Sharondiane Garnand |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 505-281-4620 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edgewood Pediatric Clinic L.l.c. are as mentioned. Primary taxonomy code for Edgewood Pediatric Clinic L.l.c. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2003-0092 | NM |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1320
Edgewood, NM, 87015-1320
United States |
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| Phone Number : | 505-281-4620 |
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| Fax Number : | 505-281-0397 |
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Business Location:
Patients can refer following map for directions to
Edgewood Pediatric Clinic L.l.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.