| NPI | 1053628552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MARK RACE President 575-434-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM MD209-0724) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2010-09-03 |