| 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 |