| NPI | 1316078249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN G TOLBER Owner President 505-883-2574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM 74-101) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-12-18 |