| NPI | 1740399831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTA BABBIT Office Manager 575-762-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NM 76-258) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NM 76-258) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-05-07 |