| NPI | 1699840272 |
|---|---|
| Other Name | PRIVATE CORPORATION |
| Entity Type | Organization |
| Authorized Contact | KARL L HORN Surgeon Physician 505-224-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |