| NPI | 1255682944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LEE ARMSTRONG Owner / Director 505-620-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NM 98-PA09) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2018-11-16 |