NPI | 1093812521 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID BRENT ADAY President 505-437-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NM 87-1) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2020-08-22 |