NPI | 1720116437 |
---|---|
Entity Type | Organization |
Authorized Contact | PHYLLIS W. KNIGHT Billing Manager 505-771-1089 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 89-268) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2008-05-15 |