| NPI | 1225511470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR ROHM Owner 505-410-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 208M00000X Hospitalist | |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-09-30 |