| NPI | 1477720035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE M BRATCHER Office/Clinical Mgr 505-566-1915 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 98-109) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |