| NPI | 1023420312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE STOLARCZYK Physician/Owner 505-270-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2010-0743) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |