Childrens Clinic, P.a.
NPI #1679793277 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1679793277
- Entity Type
- Organization
- Organization Name
- Childrens Clinic, P.a.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3917 WEST RD
- Address 2
- SUITE 128
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-2275
- Phone
- (505) 662-4234
Authorized Official
- Name
- DR. MICHAEL W NICHOLS, MD
- Title
- PRESIDENT
- Phone
- (505) 662-4234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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