| NPI | 1235105800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY HUTCHINSON Credentialing Specialist 505-559-5629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 208600000X Surgery |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-09-09 |