| NPI | 1619487121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN GILES President 505-384-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2012-0658) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-12-12 |