| NPI | 1053869578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE RAE JENKS Anesthesiologist Assistant 505-280-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |