| NPI | 1619980257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN SONTAG Physician Assistant 505-265-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: NM 91-PA01) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2008-07-24 |