Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewood Pediatric Clinic LLC

Organization Pediatrics Physician · NPI 1699905927

Edgewood Pediatric Clinic LLC is a Pediatrics Physician in Edgewood, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.

Licensed in
NM
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 Eunice Ct Bldg B
Edgewood, NM 87015-9108
Phone: (505) 281-4620
Fax: (505) 281-0397
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2003-0092 (NM)

Record details

NPI number1699905927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Garnand — Owner · (505) 281-4620
NPI enumeratedJuly 21, 2009
Last updated in NPPESMay 30, 2012
Mailing addressPo Box 1320, Edgewood, NM 87015-1320

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