NPI | 1184753568 |
---|---|
Entity Type | Organization |
Authorized Contact | KARL JOSEPH EISBACH President 505-332-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 3008) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2008-06-07 |