| NPI | 1558550657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J PERKOWSKI Owner/Physician 505-887-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM 89276) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |