| NPI | 1699883132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTELLA M CANNON Secretary/Practice Administrator 505-521-3270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2012-04-25 |