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Dr. Shelley P Schoonover, MD

Pediatrics in Los Alamos, NM. Individual provider (NPI-1).

NPI number1790779007
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1790779007
Entity type
Individual (NPI-1)
Name
Dr. Shelley P Schoonover
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2005
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics93385NMYes
208000000X PediatricsJ0249TX

Practice location

3917 West Rd
Ste 128
Los Alamos, NM 87544-2275

Phone 505-662-4234 · Fax 505-662-7894

Mailing address

3917 West Rd
Ste 128
Los Alamos, NM 87544-2275

Phone 505-662-4234 · Fax 505-662-7894

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