NPI | 1114112216 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDE DARBY BROCKETTE CEO 505-856-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 282E00000X |
Additional Taxonomies | 207R00000X Internal Medicine |
207RC0200X Internal Medicine, Critical Care Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RP1001X Internal Medicine, Pulmonary Disease | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2007-09-11 |
Last Update Date | 2017-08-17 |