NPI | 1023290616 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS CHILDERS Office Manager 505-298-8020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 207Q00000X) |
Enumeration Date | 2007-12-05 |
Last Update Date | 2007-12-05 |