| NPI | 1578975702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT NORVILLE CEO/ Medical Director 505-264-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2015-03-05 |