| NPI | 1275582470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. STALKER Owner 575-762-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-04-07 |