| NPI | 1417182288 |
|---|---|
| Doing Business As | MOUNTAIN STAR INJURY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ART ACHULETA President 915-472-3434 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |