| NPI | 1275682080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A RYERSON Administrator 505-832-8982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: NM 00F751) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |