| NPI | 1194031229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W DURAND Mbr 575-973-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NM A92290) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |