| NPI | 1316452972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE C BELCHER Owner/Provider 575-760-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 65513) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |