| NPI | 1598258782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CASKEY President 505-982-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-15 |