| NPI | 1376565952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN AMSTUTZ Credentialing Manager 505-764-9535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-12-09 |