| NPI | 1366744260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GOODKIN President 505-353-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NM 254) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NM 532) |
| Enumeration Date | 2010-11-28 |
| Last Update Date | 2010-11-28 |