| NPI | 1104802354 |
|---|---|
| Doing Business As | PRESBYTERIAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CLAY HOLDERMAN COO/Cds 505-724-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085R0001X Radiology Radiation Oncology | |
| 208600000X Surgery | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 213E00000X Podiatrist | |
| 261QU0200X Clinic/Center Urgent Care | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2012-08-30 |