NPI | 1336334127 |
---|---|
Other Name | THOMAS GRACE, MD |
Entity Type | Organization |
Authorized Contact | FRIEDA WRIGHT Office Manager 505-821-6663 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NM 77-38) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2007-12-10 |