| NPI | 1558301903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C BRYANT Office Manager 505-883-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 86-185) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-02-27 |