| NPI | 1366783458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE REYNAUD Owner/Office Manager 575-532-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 99-226) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM 99-226) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |