| NPI | 1073594446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI J ROSE Administrator 505-627-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NM 6786) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |