| NPI | 1578005484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI A BLACKSTEN President 505-554-2409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2013-0554) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-12-27 |