Organization Name: | GRACE PLACE FOR WOMEN, INCORPORATED |
NPI Number: | 1104107192 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH JOSLIN (CEO) |
Mailing Address: | 4801 N Butler Ave Ste 3102 Farmington |
State: | NM US |
Postal Code: | 874010815 |
Phone Number: | 5053274747 |
Fax Number: | 5053272025 |
NPI Enumeration Date: | 09/02/2011 |
NPI Last Update Date: | 05/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD2010-0578 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |