NPI | 1336269679 |
---|---|
Entity Type | Organization |
Authorized Contact | NORMAN D. HARRISON President 575-647-5156 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A-593) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NM NM 1600) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2012-06-20 |