OrganizationActive
Pediatric Health Services PC
NPI 1720109358 · Pediatric Adolescent Medicine Physician · Albuquerque, NM
Provider details
- NPI number
- 1720109358
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leslie Sumner, Vp(505) 294-5065
- License
- A-569-71 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10110 Spain Rd Ne
Albuquerque, NM 87111-1965
Phone: (505) 294-5065
Fax: (505) 298-2731
Approximate (ZIP-level) locationGet directions
Mailing address
10110 Spain Rd Ne
Albuquerque, NM 87111-1965
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2008-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.