| NPI | 1477958973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R CONNER Pa C 505-983-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM PA2014-0057) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |