GRACE PLACE FOR WOMEN, INCORPORATED

Obstetrics & Gynecology

Active Organization
NPI: 1104107192

Practice Address

4801 N BUTLER AVE STE 3102
Farmington, NM 87401

Phone: (505) 327-4747

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X Yes MD2010-0229 (NM)
Physician Assistant 363A00000X No PA2008-0053 (NM)

Frequently Asked Questions

NPI 1104107192 is the National Provider Identifier for GRACE PLACE FOR WOMEN, INCORPORATED, a Obstetrics & Gynecology provider located in Farmington, NM. This NPI was enumerated on September 2, 2011.

Quick Facts

NPI
1104107192
Type
Organization
Enumerated
Sep 2, 2011
Last Updated
May 23, 2012

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