| NPI | 1336884865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMEN SACOMAN Medical Director 505-418-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2024-05-16 |