| NPI | 1235385303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN H HAYNES Member 575-763-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM 82.61) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NM 82.61) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2009-07-13 |