| NPI | 1548783376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDELL POWELL President/CEO 505-360-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2024-01-24 |