Organization · Type 2 NPI

Grace Place for Women, Incorporated

Obstetrics & Gynecology Physician · Farmington, NM

NPI number 1104107192 Active

Practice location

4801 N Butler Ave Ste 3102
Farmington, NM 87401-0815

Fax (505) 327-2025

Mailing address

PO Box 2256
Farmington, NM 87499-2256

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XMD2010-0229 (NM)
Obstetrics & Gynecology Physician 207V00000XMD2010-0578 (NM)
Physician Assistant 363A00000XPA2008-0053 (NM)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Another provider at this address

Other obstetrics & gynecology physician providers in Farmington

See all in Farmington →

About NPI 1104107192

Grace Place for Women, Incorporated's National Provider Identifier is 1104107192, issued on Sep 2, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Farmington, NM. The record was last updated on May 23, 2012.