| Journey Pediatrics | |
|
8308 Constitution Pl Ne Albuquerque NM 87110 | |
| (505) 883-9570 | |
| (505) 883-4163 |
| Full Name | Journey Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8308 Constitution Pl Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Alwyn Koil (OWNER) |
| Authorized Official Contact | 5054636618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Pediatrics 12005 San Antonio Dr Ne Albuquerque NM 87122-1096 Ph: (505) 463-6618 | Journey Pediatrics 8308 Constitution Pl Ne Albuquerque NM 87110 Ph: (505) 883-9570 |
| NPI Number | 1205205630 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205205630 | NPI | - | NPPES |
| 85684392 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2003-0567 (New Mexico) | Primary |
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