| NPI | 1093800534 |
|---|---|
| Doing Business As | SAN JUAN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | J. MICHAEL PHILIPS Cso 505-324-6025 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-05-27 |