| NPI | 1346476173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLIN SIMARD Owner 505-992-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2006-0177) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |