| NPI | 1710589015 |
|---|---|
| Doing Business As | SJHP FAMILY MEDICINE FARMINGTON |
| Entity Type | Organization |
| Authorized Contact | KIM R HIPSHER-BYRD Cbo Director 505-609-2258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-12-18 |