| NPI | 1508176850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M ROBISON Owner 505-327-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 208600000X Surgery | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |