| NPI | 1609222173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA THOMPSON Owner 505-681-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |