| NPI | 1619060274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYE DUMAS Office Manager 505-327-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-06-09 |