Individual provider · NPI-1
Josiah H Child, M.D.
Internal Medicine · Santa Fe, NM
NPI number1194807800
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1194807800
- Entity type
- Individual (NPI-1)
- Name
- Josiah H Child
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2006
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD2015-0791 | NM | Yes |
| 207P00000X | Emergency Medicine | MD2015-0791 | NM | |
| 207P00000X | Emergency Medicine | 041145 | CT | |
| 207P00000X | Emergency Medicine | C155374 | CA |
Practice location
1650 Hospital Dr Ste 500Santa Fe, NM 87505-4794
Phone 505-603-5324 · Fax 505-983-7571
Mailing address
1650 Hospital Dr Ste 500Santa Fe, NM 87505-4794
Phone 505-603-5324 · Fax 505-983-7571
Other practice locations
1555 East St Ste 210
Redding, CA 96001-1153
Redding, CA 96001-1153
Phone 530-444-8304
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