| NPI | 1306950761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY BEAULIEU Office Manager 575-762-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-10-11 |