| NPI | 1972620102 |
|---|---|
| Doing Business As | ST VINCENT CAMINO ENTRADA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | J ALEX VALDEZ CEO President 505-820-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-02-12 |