| NPI | 1417165721 |
|---|---|
| Doing Business As | SOUTHWEST RETINA |
| Entity Type | Organization |
| Authorized Contact | ANA G HUAMAN President 505-269-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM 90-123) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-02-05 |