| NPI | 1558875260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STANLEY CASKEY Medical Provider/Owner 505-982-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2006-0456) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |