NPI | 1487657862 |
---|---|
Other Name | FILLMORE EYE CLINIC ASC |
Entity Type | Organization |
Authorized Contact | PARLEY D FILLMORE President 575-434-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 3343) |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NM 6134) |
Enumeration Date | 2005-05-31 |
Last Update Date | 2018-08-28 |