| NPI | 1497255400 |
|---|---|
| Doing Business As | NEW MEXICO MIGRAINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JONAH FOUTZ Member 505-926-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NM DD3662) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |