| NPI | 1639121759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY MCFARLAND Authorized Official 505-763-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-03-05 |