| NPI | 1487334934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA DIANE BANNING Nurse 505-712-9621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |