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 Clinic/Center |
Enumeration Date | 2009-05-22 |
Last Update Date | 2009-05-22 |