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 |