| NPI | 1619237625 |
|---|---|
| Doing Business As | ATOMIC CITY SURGERY |
| Entity Type | Organization |
| Authorized Contact | TADGE KANJO Sole Mbr 505-246-6910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NM MD2012-0060) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2013-04-30 |