| NPI | 1306942958 |
|---|---|
| Doing Business As | ALLERGY & ASTHMA CLINIC OF SOUTHERN NM |
| Entity Type | Organization |
| Authorized Contact | EDDIE L GAINES President 505-522-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NM 94250) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |