Doniphan Pediatrics PA

NPI #1932529542 in Canutillo, Texas

Provider Information

NPI Number: 1932529542
Entity Type: Organization
Organization Name: Doniphan Pediatrics PA
Primary Specialty: Pediatrics
Enumeration Date: Apr 22, 2014
Last Updated: Apr 22, 2014

Practice Location

Address: 6621 DONIPHAN DR
Address 2: SPACE D
City: Canutillo
State: Texas
ZIP Code: 79835-5002
Phone: (915) 478-4847

Authorized Official

Name: JESUS BREA
Title: MANAGER
Phone: (915) 478-4847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

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