| NPI | 1215016415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JACKSON WOODDELL President 505-443-0339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NM 106930) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-25 |