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 Clinic/Center (Licence: NM DD3662) |
Enumeration Date | 2018-02-15 |
Last Update Date | 2018-02-15 |