| NPI | 1407120413 |
|---|---|
| Doing Business As | MEDICUS |
| Entity Type | Organization |
| Authorized Contact | ANDREI MARCHENKO Owner 505-234-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01745) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-09-19 |