| NPI | 1497301824 |
|---|---|
| Doing Business As | GILA REGIONAL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RICHARD W STOKES CFO 575-538-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |