NPI | 1386823227 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN LEE KENNEDY President 575-556-1011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM 87-184) |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine (Licence: NM 87-104) |
Enumeration Date | 2007-10-28 |
Last Update Date | 2007-10-28 |