NPI | 1558502427 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT GLENN CUTCHEN President 505-507-4934 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM md2005-0798) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2009-03-23 |