| NPI | 1457788317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN R MINER President 505-343-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 1619) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |