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 provides Pediatrics Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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