| NPI | 1194908277 |
|---|---|
| Doing Business As | MOUNTAIN SPIRIT INTEGRATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DAWN VIVIAN Practice Manager 505-988-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2018-03-17 |