| 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 |