| NPI | 1033071824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY A GAISEY Certified Surgical First Assistant 505-639-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2026-01-05 |