| NPI | 1083635106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDRA THOMPSON Chief Financial Officer 505-242-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NM 97245) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NM 97245) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2011-03-30 |