| NPI | 1720109358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE SUMNER VP 505-294-5065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NM A-569-71) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-03-26 |