| NPI | 1053077990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BAUER Senior Director Of Operations 505-207-8078 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-12-04 |