| NPI | 1215362017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA L DELMONICO Credentialing Coordinator 505-246-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 90-246) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |