| NPI | 1174716781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIRONDA WALLEY Office Manager 575-762-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM 80-293) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-08-06 |