| NPI | 1669612107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G TOLBER President 505-231-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NM 74-101) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-25 |