| NPI | 1730722265 |
|---|---|
| Doing Business As | GILA REGIONAL FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RICHARD W STOKES Chief Financial Officer 575-538-4130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |