Los Alamos Pediatric Clinic
NPI #1245248830 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1245248830
- Entity Type
- Organization
- Organization Name
- Los Alamos Pediatric Clinic
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3917 WEST ROAD
- Address 2
- SUITE 136
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544
- Phone
- (505) 662-9620
Authorized Official
- Name
- DR. JACQUELINE ANNE KROHN, MD
- Title
- PRESIDENT
- Phone
- (509) 662-9620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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