| NPI | 1720275357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI MICHELLE YERBY Billing Specialist 505-234-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM A110698) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-11-12 |