| NPI | 1255400040 |
|---|---|
| Former Legal Business Name | ISIS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRUCE E GOLLUB President 505-983-8387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-07-13 |