| NPI | 1093954448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L. AKES Officer 505-747-0710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NM 86-002) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |