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Contact Information

DR. TOM CHILD AND ADOLESCENT MEDICINE
LOS ALAMOS MEDICAL CENTER, 3917 WEST RD
SUITE M250
LOS ALAMOS, NM87544
 Phone: 505-412-3367
 Fax: 505-662-9200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DR. TOM CHILD AND ADOLESCENT MEDICINE

NPI # 1881998664
LBN Legal business name DR. TOM CHILD AND ADOLESCENT MEDICINE
Authorized official MARVEL HARRISON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2011
Last updated 01/07/2011 - About 15 years ago
Identifiers
NM License # 93244
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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