Provider First Line Business Practice Location Address:
1001 SILVER AVE SE
Provider Second Line Business Practice Location Address:
PMG PEDIATRIC URGENT CARE
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87106-4904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-841-1819
Provider Business Practice Location Address Fax Number:
505-841-1998
Provider Enumeration Date:
10/04/2006