| NPI | 1497473391 |
|---|---|
| Other Name | PAGOSA MEDICAL GROUP DURANGO |
| Entity Type | Organization |
| Authorized Contact | RHONDA L ASH Practice Administrator 970-372-0456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-08-16 |