NPI | 1326056490 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA RUIZ Physician Practice Manager 505-216-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A53946) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2025-09-11 |