| NPI | 1720409741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BERNICE VOLPATO Medical Assistant 505-844-4237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |