| NPI | 1417780941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ROSS DURLING Owner/Medical Director 505-312-5765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |