| NPI | 1427100445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ERDIGE Office Manager 505-662-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 9799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 91259) |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NM 93274) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2019-01-24 |