| NPI | 1225162266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOUDINOT TALCOTT ATTERBURY Owner 505-989-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 207R00000X) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |