| NPI | 1205969300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON M RAY Physician 505-848-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: NM 97-130) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |