| NPI | 1598722951 |
|---|---|
| Former Legal Business Name | NEW MEXICO EYE CLINIC OF FARMINGTON |
| Entity Type | Organization |
| Authorized Contact | SCOTT D ALLEN Owner/Physician 505-325-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NM 95-172) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-05-28 |