| NPI | 1043933054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN SUTTER CEO 505-884-1114 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |