| NPI | 1215173000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAS R. SKARDIS Owner 505-670-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM 159Rx2) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM 192Rx2) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM 192Rx2) | |
| Enumeration Date | 2008-12-28 |
| Last Update Date | 2008-12-28 |