| NPI | 1386083889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCMILLAN Adminstrator 575-534-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NM NM98-375) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM NM98-375) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |