NPI | 1710289814 |
---|---|
Doing Business As | CHRISTUS ST. VINCENT DEVARGAS FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | BRUCE TASSIN President/CEO 505-820-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2010-11-22 |
Last Update Date | 2014-02-11 |