| NPI | 1235300419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP FREDERICK BARTEL Doctor 505-881-9764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 249) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |