| NPI | 1275732075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALSTON CLEMENS LUNDGREN President 505-986-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 98-323) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-19 |