| NPI | 1235335894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY D. NAGEL Owner 505-848-3124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NM 73-230) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |