| NPI | 1053453092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T. NICKELS President 505-921-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |