| NPI | 1447632617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PHILLIP JOHNSTON Nurse Practitioner/Er 505-823-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: NM CNP-02691) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |