| NPI | 1609653336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BLASBERG Physician/Owner 505-855-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-14 |