| NPI | 1457870768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CAPERTON Physician Owner 505-702-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |