| NPI | 1649330325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEFFREY O'CONNELL Owner 505-527-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R37541) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |