| NPI | 1487176061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L COALSON President 505-410-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2012-0250) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2022-07-21 |