| NPI | 1497910848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE O MONTANO Practice Manager 505-896-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM 20020450) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NM 20050405) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2015-02-05 |