| NPI | 1558555003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WEIGEL Chief Administrative Officer 505-298-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2016-06-01 |