| NPI | 1053546796 |
|---|---|
| Doing Business As | ROSWELL MEDICO |
| Entity Type | Organization |
| Authorized Contact | SIAVASH KARIMIAN President/Owenr 575-625-8430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2007-0234) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM MD2011-0412) |
| 363A00000X Physician Assistant (Licence: NM 2001-PA31) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP001177) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP02096) | |
| 101YP2500X Counselor, Professional (Licence: NM 143171) | |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2013-07-10 |