| NPI | 1710176995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN FISHER Owner 505-325-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2007-0662) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2010-03-04 |