| NPI | 1407382567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WAYNE MUHR Owner/Provider 575-291-9814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NM PA2009-0030) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |