| NPI | 1467682237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN SCHIMMEL Chief Of Ambulatory Care 505-265-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA (Licence: NM R27976) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |