| Doctor Name: | DR. ANN K CHURCH |
| NPI Number: | 1295700912 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | NM2010-0079 |
| Business Practice Address: | 833 E Roosevelt Ave Grants, NM - 870202115 |
| Business Phone Number: | 5052876500 |
| Business Fax Number: | |
| Mailing Address: | 833 E Roosevelt Ave, GRANTS |
| State: | NM |
| Postal Code: | 870202115 |
| Phone Number: | 5052876500 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2006 |
| NPI Last Update Date: | 04/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | NM2010-0079 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |