| NPI | 1679641963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY REUSS Owner 505-884-9687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM 2003-0502) |
| Enumeration Date | 2006-12-03 |
| Last Update Date | 2009-08-06 |