GRACE PLACE FOR WOMEN INCORPORATED NPI 1104107192

NPI Information

GRACE PLACE FOR WOMEN, INCORPORATED is an obstetrics gynecology in Farmington, NM. The provider is 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. GRACE PLACE FOR WOMEN, INCORPORATED NPI is 1104107192. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4801 N BUTLER AVE STE 3102
FARMINGTON, NM
ZIP 87401-815
Phone: (505) 327-4747
Fax: (505) 327-2025

The provider's authorized official is Deborah Joslin .
The authorized official title is Ceo and has the following contact phone number (505) 327-4747.

The CLIA number assigned to this NPI record is 32D1061325 - other - medical pregnancy resourc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/2/2011 and was last updated on 5/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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