GRACE PLACE FOR WOMEN, INCORPORATED

Obstetrics & Gynecology Physician

NPI: 1104107192Organization

Specialties, Licenses & Credentials

Obstetrics & Gynecology PhysicianPrimary

Obstetrics & Gynecology

Code: 207V00000X

MD2010-0578(NM)MD2010-0229(NM)

Physician Assistant

Physician Assistant

Code: 363A00000X

PA2008-0053(NM)

Contact & Hours

Address: 4801 N BUTLER AVE STE 3102
FARMINGTON, NM 87401
Phone: (505) 327-4747

Quick Facts

NPI: 1104107192
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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