| NPI | 1528378858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP D BRIGGS Owner 505-338-3851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2014-08-20 |