| NPI | 1720404908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RADUNSKY CEO/Medical Director 505-919-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM MD2008-0026) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |